Individual provider Active NPI

Aaron Chase Proctor

  • Chiropractor
  • Longwood, FL
National Provider Identifier
1487010690
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11760 Issued in FL
Practice address
2170 W State Road 434 Ste 252
Longwood, FL 32779-4976
Phone
(407) 331-9913
NPI assigned
Jan 5, 2016
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 11760 FL Primary

Addresses

Primary practice location

2170 W State Road 434 Ste 252
Longwood, FL 32779-4976

Mailing address

2170 W State Road 434 Ste 252
Longwood, FL 32779-4976
Phone (407) 331-9913

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170130001342 FL Practitioner - Chiropractic 3870875743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Orlando Spine Center, LLCGroup PAC ID 7214062504, 3 clinicians

Practice addresses (Care Compare)

2170 W Sr
434 Suite 252
Longwood, FL 32779-4976

2170 W State Rd
434 Suite 252
Longwood, FL 32779-4976
Phone (407) 331-9913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 11760FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
North Orlando Spine Center, LLC Chiropractor CurrentSince Jan 7, 2016 Accepting new patients

Locations

2160 W State Road 434
Ste 108
Longwood, FL 32779

2170 W State Road 434
Ste 252
Longwood, FL 32779
Phone (407) 331-9913

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1487010690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 W STATE ROAD 434 STE 252",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794976",
            "telephone_number": "407-331-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 W STATE ROAD 434 STE 252",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794976",
            "telephone_number": "407-331-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "AARON",
        "middle_name": "CHASE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.