Harris Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0005746 Issued in FL

Legal business name

HARRIS CHIROPRACTIC CLINIC INC

Practice address

956 International Pkwy Ste 1580
Lake Mary, FL 32746-5219

Phone

(407) 706-1420

Fax

(407) 706-1424

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark William Harris, D.C.NPI 1982679825

Title

President

Phone

(407) 706-1420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Mark William Harris, D.C.

  • Sports Physician Chiropractor
  • Lake Mary, FL
  • NPI 1982679825
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1609061985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 PIEDMONT PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467609",
            "telephone_number": "407-706-1420",
            "fax_number": "407-705-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 INTERNATIONAL PKWY STE 1580",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465219",
            "telephone_number": "407-706-1420",
            "fax_number": "407-706-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-706-1420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Roy Harden, D.C.
• Harper Health LLC
• Taurean Letavia Harper
• Jamie Beth Harrell, PHARMD
• Nancy Ann Harrington, LPTA
• Jack Kirschenfeld Harris
• Janet Ruth Harris, PT
• Kayla Harris
• Kristin Harris
• Mark William Harris, D.C.

• Chiropractor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.