Active NPI
Living Well Chiropractic of Central Florida Inc
- Chiropractor
- Saint Cloud, FL
National Provider Identifier
1386983567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10265
- Legal business name
- LIVING WELL CHIROPRACTIC OF CENTRAL FLORIDA INC
- Practice address
- 4039 13TH St
Saint Cloud, FL 34769-6772 - Phone
- (407) 957-1337
- Fax
- (407) 957-1848
- NPI assigned
- Feb 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard M Takanen, D.C.
- Title
- Owner
- Phone
- (407) 957-1337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10265 | FL | Primary |
Addresses
Primary practice location
4039 13TH St
Saint Cloud, FL 34769-6772
Mailing address
4039 13TH St
Saint Cloud, FL 34769-6772
Phone (407) 957-1337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4039 13th St
Saint Cloud, FL 34769
Phone (407) 519-0363
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Saint Cloud, FL
- NPI 1215236195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1386983567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4039 13TH ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347696772",
"telephone_number": "407-957-1337",
"fax_number": "407-957-1848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4039 13TH ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347696772",
"telephone_number": "407-957-1337",
"fax_number": "407-957-1848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING WELL CHIROPRACTIC OF CENTRAL FLORIDA INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-07",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "TAKANEN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-957-1337",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.