NPIMap

Organization Active NPI

Heathrow Family Chiropractic

  • Chiropractor
  • Lake Mary, FL
National Provider Identifier
1467737130
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10438 Issued in FL
Legal business name
HEATHROW FAMILY CHIROPRACTIC
Practice address
1130 Townpark Ave
Suite 1116
Lake Mary, FL 32746-4787
Phone
(407) 756-6998
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Kelly Tolle, D.C.
Title
Owner/Manager
Phone
(407) 756-6998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10438 FL Primary

Addresses

Primary practice location

1130 Townpark Ave
Suite 1116
Lake Mary, FL 32746-4787

Mailing address

1601 Cherry Lake Way
Lake Mary, FL 32746-1962
Phone (407) 756-6998

National Provider Directory

National Provider Directory

Locations

1130 Townpark Ave
Ste 1116
Lake Mary, FL 32746
Phone (407) 756-6998

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1467737130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY LAKE WAY",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461962",
            "telephone_number": "407-756-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TOWNPARK AVE",
            "address_2": "SUITE 1116",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464787",
            "telephone_number": "407-756-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHROW FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "TOLLE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "407-756-6998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.