Organization Active NPI

North Orlando Spine Center, LLC

  • Chiropractor
  • Longwood, FL
National Provider Identifier
1407083777
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NORTH ORLANDO SPINE CENTER, LLC
Practice address
2170 W State Road 434 Ste 252
Longwood, FL 32779-4976
Phone
(407) 331-9913
Fax
(407) 331-9918
NPI assigned
Jun 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nicole Louise Ingrando, D.C.NPI 1750522314
Title
Doctor of Chiropractic
Phone
(407) 331-9913

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2170 W State Road 434 Ste 252
Longwood, FL 32779-4976

Mailing address

2170 W State Road 434 Ste 252
Longwood, FL 32779-4976
Phone (407) 331-9913

Other identifiers 1

IdentifierTypeStateIssuer
CV491AOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100311000580 FL Part B Supplier - Clinic/Group Practice 7214062504 Receives reassigned benefits from 4 practitioners
Practice locations: Longwood, FL

National Provider Directory

National Provider Directory

Locations

2170 W State Road 434
Ste 252
Longwood, FL 32779
Phone (407) 331-9913

140 Crown Oak Centre Dr
Longwood, FL 32750
Phone (407) 331-9913

2160 W State Road 434
Ste 108
Longwood, FL 32779

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1407083777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 W STATE ROAD 434 STE 252",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794976",
            "telephone_number": "407-331-9913",
            "fax_number": "407-331-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 W STATE ROAD 434 STE 252",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794976",
            "telephone_number": "407-331-9913",
            "fax_number": "407-331-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ORLANDO SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "INGRANDO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "407-331-9913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CV491A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.