Organization Active NPI

Colonial Chiropractic Center

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1558540260
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COLONIAL CHIROPRACTIC CENTER
Practice address
1310 W Colonial Dr Ste 21-23
Orlando, FL 32804-7139
Phone
(407) 849-0444
Fax
(407) 841-0037
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Mrs. Shona Sherinika Johnson
Title
Owner
Phone
(321) 615-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1310 W Colonial Dr Ste 21-23
Orlando, FL 32804-7139

Mailing address

1310 W Colonial Dr Ste 21-23
Orlando, FL 32804-7139
Phone (407) 849-0444

National Provider Directory

National Provider Directory

Locations

1310 W Colonial Dr
Ste 2123
Orlando, FL 32804
Phone (407) 849-0444

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1558540260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W COLONIAL DR STE 21-23",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047139",
            "telephone_number": "407-849-0444",
            "fax_number": "407-841-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W COLONIAL DR STE 21-23",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047139",
            "telephone_number": "407-849-0444",
            "fax_number": "407-841-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHONA",
        "authorized_official_middle_name": "SHERINIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-615-8977",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "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 Oct 30, 2007; 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.