Individual provider Active NPI

Richard David Lerner, D.C.

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1497762017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8605 Issued in FL
Practice address
11241 E Colonial Dr Ste 210
Orlando, FL 32817-4562
Phone
(407) 275-9176
Fax
(407) 275-9706
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8605 FL Primary

Addresses

Primary practice location

11241 E Colonial Dr Ste 210
Orlando, FL 32817-4562

Mailing address

11241 E Colonial Dr Ste 210
Orlando, FL 32817-4562
Phone (407) 275-9176

Other identifiers 1

IdentifierTypeStateIssuer
89195OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160414000808 FL Practitioner - Chiropractic 5496050684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11241 E Colonial Dr
Suite 210
Orlando, FL 32817-4562
Phone (407) 275-9176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8605FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lerner Family Chiropractic PA Chiropractor CurrentSince Feb 6, 2016 Accepting new patients

Locations

11241 E Colonial Dr
Ste 210
Orlando, FL 32817
Phone (407) 275-9176

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497762017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11241 E COLONIAL DR STE 210",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174562",
            "telephone_number": "407-275-9176",
            "fax_number": "407-275-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11241 E COLONIAL DR STE 210",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174562",
            "telephone_number": "407-275-9176",
            "fax_number": "407-275-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "RICHARD",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89195",
            "state": "FL"
        }
    ],
    "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 Jul 8, 2007; 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.