Individual provider Active NPI

Elaine Blair, DC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1447218029
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6735 Issued in FL
Practice address
205 E Colonial Dr
Orlando, FL 32801-1203
Phone
(407) 649-9699
Fax
(407) 649-8991
NPI assigned
May 3, 2006
Last updated
Jun 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6735 FL Primary

Addresses

Primary practice location

205 E Colonial Dr
Orlando, FL 32801-1203

Mailing address

205 E Colonial Dr
Orlando, FL 32801-1203
Phone (407) 649-9699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000084 FL Practitioner - Chiropractic 7315965753 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1810 Semoran Blvd
Suite 104
Winter Park, FL 32792-0000
Phone (407) 672-1616

205 E Colonial Dr
Orlando, FL 32801-1203
Phone (407) 649-9699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mauricio Chiropractic East Colonial, LLC Chiropractor CurrentSince Jul 10, 2019 Accepting new patients
Mauricio Chiropractic Dr. Phillips, LLC Chiropractor CurrentSince Jul 21, 2019 Accepting new patients
Mauricio Chiropractic Poinciana LLC Chiropractor CurrentSince Jul 21, 2019 Accepting new patients
Mauricio Chiropractic Group Inc Chiropractor CurrentSince Jul 21, 2019 Accepting new patients
Mauricio Chiropractic South L L C Chiropractor CurrentSince Jul 21, 2019 Accepting new patients
Mauricio Chiropractic Clinics PA Chiropractor CurrentSince Jul 21, 2019 Accepting new patients
Mauricio Chiropractic Clinics PA Chiropractor Current Accepting new patients

Locations

860 Towne Center Dr
Kissimmee, FL 34759
Phone (407) 483-1266

1050 N Pine Hills Rd
Orlando, FL 32808
Phone (407) 297-3666

12278 E Colonial Dr
Orlando, FL 32826
Phone (407) 273-7727

12278 E Colonial Dr
Ste 600H
Orlando, FL 32826

12278 E Colonial Dr
Ste 700
Orlando, FL 32826
Phone (407) 272-7727

12278 E Colonial Dr
Ste 700B
Orlando, FL 32826

12278 E Colonial Dr
Ste 700D
Orlando, FL 32826

12278 E Colonial Dr
Ste 700E
Orlando, FL 32826

12278 E Colonial Dr
Ste 700G
Orlando, FL 32826

12278 E Colonial Dr
Ste 700H
Orlando, FL 32826

12278 E Colonial Dr
Ste 700W
Orlando, FL 32826

12720 S Orange Blossom Trl
Ste 20
Orlando, FL 32837
Phone (407) 438-4888

4747 Conway Rd
Ste A
Orlando, FL 32812
Phone (407) 240-8430

7601 Conroy Windermere Rd
Ste 204
Orlando, FL 32835
Phone (407) 290-6503

1810 State Road 436
Ste 104
Winter Park, FL 32792
Phone (407) 672-1616

Organizations & group practices 8

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1447218029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011203",
            "telephone_number": "407-649-9699",
            "fax_number": "407-649-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011203",
            "telephone_number": "407-649-9699",
            "fax_number": "407-649-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "ELAINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.