Organization Active NPI

Clermont Neurologic and Chiropractic,LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Clermont, FL
National Provider Identifier
1487977237
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME103728 Issued in FL
Legal business name
CLERMONT NEUROLOGIC AND CHIROPRACTIC,LLC
Practice address
17307 Pagonia Drive
Building #a
Clermont, FL 34711-2778
Phone
(352) 484-0403
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Dr. Rajpaul Singh, M.D
Title
President
Phone
(352) 484-0403

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH7683 FL
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0402X ME103728 FL Primary

Addresses

Primary practice location

17307 Pagonia Drive
Building #a
Clermont, FL 34711-2778

Mailing address

17307 Pagonia Drive
Building #a
Clermont, FL 34711-2778
Phone (352) 484-0403

National Provider Directory

National Provider Directory

Locations

17307 Pagonia Rd
Ste A
Clermont, FL 34711
Phone (352) 484-0403

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1487977237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17307 PAGONIA DRIVE",
            "address_2": "BUILDING #A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112778",
            "telephone_number": "352-484-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17307 PAGONIA DRIVE",
            "address_2": "BUILDING #A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112778",
            "telephone_number": "352-484-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERMONT NEUROLOGIC AND CHIROPRACTIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "RAJPAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-484-0403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7683",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME103728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.