Tadserh Sjeator Serralta, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006802 Issued in FL

Practice address

813 US Highway 27 S
Sebring, FL 33870-2173

Phone

(863) 385-5300

Fax

(863) 402-9147

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tadserh Serralta, Inc.

  • Chiropractor
  • Sebring, FL
  • NPI 1184996027
  Medicare reassignment
• Richard S Taylor DC PA

  • Chiropractor
  • Sebring, FL
  • NPI 1396892857
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467552547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 US HIGHWAY 27 S",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702173",
            "telephone_number": "863-385-5300",
            "fax_number": "863-402-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 US HIGHWAY 27 S",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702173",
            "telephone_number": "863-385-5300",
            "fax_number": "863-402-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRALTA",
        "first_name": "TADSERH",
        "middle_name": "SJEATOR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380661801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cirilo M. Seralde Jr., MD
• Mercy L Seralde, M.D.
• Victor Medina Seralde, M.D.
• Serenity 2 LLC
• Lourdes Maria Serralta
• Amit Indravadan Shah, M.D.
• Afsana Ansari Shaik, MD
• Shailesh Joshi MD PLLC
• Priya Sharma, MD
• Rakesh K. Sharma, M.D.

• Chiropractor in Sebring, FL
• Providers in Sebring, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.