Active NPI
College Park Chiropractic
- Chiropractor
- Orlando, FL
National Provider Identifier
1487482394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- COLLEGE PARK CHIROPRACTIC
- Practice address
- 3536 Edgewater Dr
Orlando, FL 32804-2922 - Phone
- (407) 413-5731
- NPI assigned
- Jul 23, 2024
- Last updated
- Sep 17, 2024
- 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. Kristy Wood, DC
- Title
- Chiropractor
- Phone
- (407) 413-5731
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
3536 Edgewater Dr
Orlando, FL 32804-2922
Mailing address
800 W Yale St
Orlando, FL 32804-5243
Phone (407) 413-5731
National Provider Directory
National Provider DirectoryLocations
3536 Edgewater Dr
Orlando, FL 32804
Phone (407) 413-5731
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Altamonte Springs, FL
- NPI 1376781237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1487482394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W YALE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045243",
"telephone_number": "407-413-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3536 EDGEWATER DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328042922",
"telephone_number": "407-413-5731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLEGE PARK CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-23",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "KRISTY",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "407-413-5731",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"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 Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.