Organization Active NPI

Michael Eric Tom DC, P.a.

Doing business as Kissimmee Chiropractic Physicians Group

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1477797819
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8768 Issued in FL
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

Updated by the provider on Apr 29, 2009

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.