Individual provider Active NPI

Carlos Mota Annexy, DC

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1437902707
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14781 Issued in FL
Practice address
604 Front St
Kissimmee, FL 34747-4675
Phone
(321) 939-2328
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14781 FL Primary

Addresses

Primary practice location

604 Front St
Kissimmee, FL 34747-4675

Mailing address

604 Front St
Kissimmee, FL 34747-4675

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422002765 FL Practitioner - Chiropractic 1557700606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Celebration Family Chiropractic Clinic IncGroup PAC ID 0648570929, 2 clinicians

Practice addresses (Care Compare)

604 Front St
Celebration, FL 34747-4675
Phone (321) 939-2328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14781FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Celebration Family Chiropractic Clinic Inc Chiropractor CurrentSince Jan 13, 2024 Accepting new patients

Locations

604 Front St
Kissimmee, FL 34747
Phone (321) 939-2328

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1437902707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 FRONT ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347474675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 FRONT ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347474675",
            "telephone_number": "321-939-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTA ANNEXY",
        "first_name": "CARLOS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14781",
            "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 Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.