Wise Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9678 Issued in FL

Legal business name

WISE CHIROPRACTIC PA

Practice address

17941 US Highway 441
Mount Dora, FL 32757-6717

Phone

(352) 516-6820

NPI assigned

Mar 4, 2010

Organization subpart

No

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

Authorized official

Name

Jonathan Craig Wise, D.C.NPI 1942446497

Title

President

Phone

(352) 259-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Craig Wise, D.C.

  • Chiropractor
  • Mount Dora, FL
  • NPI 1942446497
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Michael Bodine, D.C

  • Chiropractor
  • Oviedo, FL
  • NPI 1194964973
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1477876472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17941 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576717",
            "telephone_number": "352-516-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17941 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576717",
            "telephone_number": "352-516-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-259-2225",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "431001936418001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randy David Willis, DO
• Genester Sylvanna Wilson-King, MD FACOG
• Delania Tyevette Wilson
• Gabrielle Wilson
• Sheila Wilson
• Jonathan Craig Wise, D.C.
• Carolyn Woods
• Leslie Worth, LMFT
• Worthwhile Therapy LLC
• Jennifer R Wright

• Chiropractor in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.