Organization Active NPI

Advanced Health Care Group, Inc

  • Rehabilitation Chiropractor
  • Kissimmee, FL
National Provider Identifier
1407134075
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
ADVANCED HEALTH CARE GROUP, INC
Practice address
711 E Oak St
Kissimmee, FL 34744-4573
Phone
(407) 933-1500
Fax
(407) 933-1504
NPI assigned
Jul 29, 2011
Last updated
Aug 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Dr. Ihan Rodrguez, DC
Title
Owner
Phone
(407) 933-1500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU
Rehabilitation Chiropractor 111NR0400X NU Primary

Addresses

Primary practice location

711 E Oak St
Kissimmee, FL 34744-4573

Mailing address

PO Box 2820
Windermere, FL 34786-2820
Phone (407) 933-1500

National Provider Directory

National Provider Directory

Locations

711 E Oak St
Kissimmee, FL 34744
Phone (407) 846-0533

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1407134075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2820",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347862820",
            "telephone_number": "407-933-1500",
            "fax_number": "407-933-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444573",
            "telephone_number": "407-933-1500",
            "fax_number": "407-933-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH CARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "RODRGUEZ",
        "authorized_official_first_name": "IHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-933-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.