Chiro-Medical of Kissimmee, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5659 Issued in FL

Legal business name

CHIRO-MEDICAL OF KISSIMMEE, INC.

Practice address

825 E Oak St
Kissimmee, FL 34744-5838

Phone

(561) 367-1344

Fax

(561) 367-1320

NPI assigned

Feb 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sal James Pellegrino, D.C.

Title

President/Doctor

Phone

(561) 367-1333

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1629300322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 NE 32ND ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316918",
            "telephone_number": "561-367-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445838",
            "telephone_number": "561-367-1344",
            "fax_number": "561-367-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-MEDICAL OF KISSIMMEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "SAL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "561-367-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5659",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8212",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota Cornelius Chin, COTA
• Cristian Chinea, DMD
• Juliza Gloria Chinnery, LMT
• Julie Jijo Chirayil
• Chiro Matrix, P.a.
• Chiropractic Clinics of Central Florida LLC
• Chiropractic Trust LLC
• Meyssell Chong Ferrera, NP
• I-Ling Chou, M.D.
• Hassan Choudhary

• Chiropractor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.