NPIMap

Organization Active NPI

Reformation Chiropractic PLLC

  • Chiropractor
  • Winter Garden, FL
National Provider Identifier
1699309476
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REFORMATION CHIROPRACTIC PLLC
Practice address
13530 Glynshel Dr
Winter Garden, FL 34787-5000
Phone
(321) 231-9634
NPI assigned
Mar 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Robert White, DCNPI 1114557386
Title
Doctor/Owner
Phone
(321) 231-9634

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 Primary

Addresses

Primary practice location

13530 Glynshel Dr
Winter Garden, FL 34787-5000

Mailing address

13530 Glynshel Dr
Winter Garden, FL 34787-5000
Phone (321) 231-9634

National Provider Directory

National Provider Directory

Locations

301 S Tubb St
Ste F2
Oakland, FL 34760
Phone (407) 614-7609

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": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1699309476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 GLYNSHEL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875000",
            "telephone_number": "321-231-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 GLYNSHEL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875000",
            "telephone_number": "321-231-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORMATION CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "321-231-9634",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.