Individual provider Active NPI

Marcus Jaxon Acevedo, DC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1477070191
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12290 Issued in FL
Practice address
779 N Alafaya TRL
Orlando, FL 32828-7047
Phone
(407) 900-2221
NPI assigned
Aug 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12290 FL Primary

Addresses

Primary practice location

779 N Alafaya TRL
Orlando, FL 32828-7047

Mailing address

425 Alexandria Blvd
Oviedo, FL 32765-5548
Phone (407) 977-3434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411001653 FL Practitioner - Chiropractic 3971999392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Medical Florida LLCGroup PAC ID 1355570474, 16 clinicians

Practice addresses (Care Compare)

3990 E Sr
Suite 44
Wildwood, FL 34785-7482
Phone (407) 889-3223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Next Medical Florida LLC Chiropractor CurrentSince Dec 31, 2021 Accepting new patients

Locations

877 S Orange Blossom Trl
Forest City, FL 32703
Phone (407) 889-3223

6285 Minton Rd NE
Palm Bay, FL 32907
Phone (321) 306-0300

3990 E State Road 44
Wildwood, FL 34785
Phone (352) 775-4221

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1477070191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ALEXANDRIA BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655548",
            "telephone_number": "407-977-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 N ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287047",
            "telephone_number": "407-900-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "MARCUS",
        "middle_name": "JAXON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12290",
            "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 Aug 23, 2017; 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.