Organization Active NPI

Oviedo Injury & Wellness Center

  • Chiropractor
  • Oviedo, FL
National Provider Identifier
1497742910
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7951 Issued in FL
Legal business name
OVIEDO INJURY & WELLNESS CENTER
Practice address
870 Clark St Ste 1040
Oviedo, FL 32765-9270
Phone
(407) 977-5005
Fax
(407) 366-3327
NPI assigned
Sep 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. Vernon Martin Ressler III, D.C.NPI 1881681260
Title
Owner
Phone
(407) 977-5005

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7951 FL Primary

Addresses

Primary practice location

870 Clark St Ste 1040
Oviedo, FL 32765-9270

Mailing address

870 Clark St. Ste 1040
Oviedo, FL 32765-9270
Phone (407) 977-5005

Other identifiers 1

IdentifierTypeStateIssuer
381399100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060126000201 FL Part B Supplier - Clinic/Group Practice 5698789949 Receives reassigned benefits from 1 practitioner
Practice locations: Oviedo, FL

National Provider Directory

National Provider Directory

Locations

870 Clark St
Ste 1040
Oviedo, FL 32765
Phone (407) 687-5415

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": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1497742910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CLARK ST. STE 1040",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659270",
            "telephone_number": "407-977-5005",
            "fax_number": "407-366-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CLARK ST STE 1040",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659270",
            "telephone_number": "407-977-5005",
            "fax_number": "407-366-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVIEDO INJURY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "RESSLER",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-977-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381399100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.