Individual provider Active NPI

Guillermo Jose Nazario Nazario, D.C

  • Rehabilitation Chiropractor
  • Orlando, FL
National Provider Identifier
1447617428
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH11762 Issued in FL
Practice address
8915 Conroy Windermere Rd
Orlando, FL 32835-3127
Phone
(407) 909-4788
Fax
(407) 909-1788
NPI assigned
Jan 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X CH11762 FL Primary

Addresses

Primary practice location

8915 Conroy Windermere Rd
Orlando, FL 32835-3127

Mailing address

5058 Savannah River Way Apt 108
Orlando, FL 32839-5083
Phone (787) 598-8601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210707003363 FL Practitioner - Chiropractic 1456753847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8915 Conroy Windermere Rd
Orlando, FL 32835-3127
Phone (407) 909-4788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Spinal Care & Rehab Center LLC Rehabilitation CurrentSince Jan 1, 2021 Accepting new patients

Locations

8915 Conroy Windermere Rd
Orlando, FL 32835
Phone (407) 909-4788

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1447617428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5058 SAVANNAH RIVER WAY APT 108",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328395083",
            "telephone_number": "787-598-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 CONROY WINDERMERE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353127",
            "telephone_number": "407-909-4788",
            "fax_number": "407-909-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO NAZARIO",
        "first_name": "GUILLERMO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH11762",
            "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 14, 2016; 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.