Individual provider Active NPI

G. S. Torres, D.C., F.I.A.M.A.

  • Rehabilitation Chiropractor
  • Tampa, FL
National Provider Identifier
1457419574
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH 6555 Issued in FL
Practice address
11805 Carrollwood Village CV
Tampa, FL 33618-8604
Phone
(813) 786-5196
Fax
(813) 961-1065
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2629 GA
Chiropractor 111N00000X 38MC00651300 NJ
Chiropractor 111N00000X 2301006555 MI
Chiropractor 111N00000X 1127 AL
Rehabilitation Chiropractor 111NR0400X CH 6555 FL Primary

Addresses

Primary practice location

11805 Carrollwood Village CV
Tampa, FL 33618-8604

Mailing address

11805 Carrollwood Village CV
Tampa, FL 33618-8604
Phone (813) 786-5196

Other identifiers 1

IdentifierTypeStateIssuer
89718OtherFLBC BS ID NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1127ALMDChiropractor
2629GAMDChiropractor
2301006555MIMDChiropractor
38MC00651300NJMDChiropractor
CH 6555FLMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1457419574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 CARROLLWOOD VILLAGE CV",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188604",
            "telephone_number": "813-786-5196",
            "fax_number": "813-961-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 CARROLLWOOD VILLAGE CV",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188604",
            "telephone_number": "813-786-5196",
            "fax_number": "813-961-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "G.",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.C., F.I.A.M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2629",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00651300",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006555",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1127",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH 6555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS ID NO.",
            "identifier": "89718",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.