Individual provider Active NPI

Craig Ian Silberstein, D.C.

  • Sports Physician Chiropractor
  • Ocoee, FL
National Provider Identifier
1467591081
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH8362 Issued in FL
Practice address
10882 W Colonial Dr
Ocoee, FL 34761-2981
Phone
(407) 445-1000
Fax
(407) 445-1001
NPI assigned
Feb 6, 2007
Last updated
Jun 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X CH8362 FL
Sports Physician Chiropractor 111NS0005X CH8362 FL Primary

Addresses

Primary practice location

10882 W Colonial Dr
Ocoee, FL 34761-2981

Mailing address

10882 W Colonial Dr
Ocoee, FL 34761-2981
Phone (407) 445-1000

Other identifiers 1

IdentifierTypeStateIssuer
381623100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000464 FL Practitioner - Chiropractic 4385679232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10882 W Colonial Dr
Ocoee, FL 34761-2981
Phone (407) 654-2575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8362FLMDRadiology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Works CurrentSince Apr 9, 2007 Accepting new patients
Family Chiropractic Works-South Inc. PastSince Oct 15, 2004 Accepting new patients

Locations

10882 W Colonial Dr
Ocoee, FL 34761
Phone (407) 445-1000

885 N Powers Dr
Orlando, FL 32818
Phone (407) 445-1000

Organizations & group practices 2

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1467591081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10882 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612981",
            "telephone_number": "407-445-1000",
            "fax_number": "407-445-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10882 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612981",
            "telephone_number": "407-445-1000",
            "fax_number": "407-445-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBERSTEIN",
        "first_name": "CRAIG",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "FL",
            "license": "CH8362",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH8362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381623100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.