Active NPI
Michael Eric Tom DC, P.a.
Doing business as Kissimmee Chiropractic Physicians Group
- Chiropractor
- Kissimmee, FL
National Provider Identifier
1477797819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 8768
- Legal business name
- MICHAEL ERIC TOM DC, P.A.
- Doing business as
- Kissimmee Chiropractic Physicians Group
- Practice address
- 1320 N Main St
Kissimmee, FL 34744-4289 - Phone
- (407) 933-7246
- Fax
- (407) 933-0220
- NPI assigned
- Apr 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Eric Tom, D.C.
- Title
- Treating Physician / President
- Phone
- (407) 933-7246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 8768 | FL | Primary |
Addresses
Primary practice location
1320 N Main St
Kissimmee, FL 34744-4289
Mailing address
1320 N Main St
Kissimmee, FL 34744-4289
Phone (407) 933-7246
Other names 1
- Kissimmee Chiropractic Physicians Group
National Provider Directory
National Provider DirectoryLocations
1320 N Main St
Kissimmee, FL 34744
Phone (407) 343-5914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240963200000",
"number": "1477797819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 N MAIN ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444289",
"telephone_number": "407-933-7246",
"fax_number": "407-933-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N MAIN ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444289",
"telephone_number": "407-933-7246",
"fax_number": "407-933-0220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL ERIC TOM DC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-29",
"last_updated": "2009-04-29",
"status": "A",
"authorized_official_last_name": "TOM",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "TREATING PHYSICIAN / PRESIDENT",
"authorized_official_telephone_number": "407-933-7246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 8768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kissimmee Chiropractic Physicians Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.