Organization Active NPI

Verne Chiropractic Clinic,PA

  • Chiropractor
  • Maitland, FL
National Provider Identifier
1598066946
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7922 Issued in FL
Legal business name
VERNE CHIROPRACTIC CLINIC,PA
Practice address
467 Lake Howell Rd Ste 204
Maitland, FL 32751-5922
Phone
(407) 657-2225
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Michael Henry Verne, D.C.NPI 1770776098
Title
President/Chiropractor
Phone
(407) 657-2225

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 CH7922 FL Primary

Addresses

Primary practice location

467 Lake Howell Rd Ste 204
Maitland, FL 32751-5922

Mailing address

467 Lake Howell Rd Ste 204
Maitland, FL 32751-5922
Phone (407) 657-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101217000461 FL Part B Supplier - Clinic/Group Practice 2264620202 Receives reassigned benefits from 1 practitioner
Practice locations: Maitland, FL

National Provider Directory

National Provider Directory

Locations

467 Lake Howell Rd
Ste 204
Maitland, FL 32751
Phone (407) 657-2225

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": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1598066946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 LAKE HOWELL RD STE 204",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515922",
            "telephone_number": "407-657-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 LAKE HOWELL RD STE 204",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515922",
            "telephone_number": "407-657-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNE CHIROPRACTIC CLINIC,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "VERNE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "407-657-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.