Organization Active NPI

Palm Springs Integrative Center

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1700155157
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9295 Issued in FL
Legal business name
PALM SPRINGS INTEGRATIVE CENTER
Practice address
685 Palm Springs Dr
Ste C1
Altamonte Springs, FL 32701-7853
Phone
(407) 332-7080
Fax
(407) 790-7806
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Yaser Jimenez-Mussa, CH
Title
Owner
Phone
(407) 332-7080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9295 FL Primary

Addresses

Primary practice location

685 Palm Springs Dr
Ste C1
Altamonte Springs, FL 32701-7853

Mailing address

685 Palm Springs Dr
Ste C1
Altamonte Springs, FL 32701-7853
Phone (407) 332-7080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1700155157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 PALM SPRINGS DR",
            "address_2": "STE C1",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017853",
            "telephone_number": "407-332-7080",
            "fax_number": "407-790-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 PALM SPRINGS DR",
            "address_2": "STE C1",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017853",
            "telephone_number": "407-332-7080",
            "fax_number": "407-790-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM SPRINGS INTEGRATIVE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ-MUSSA",
        "authorized_official_first_name": "YASER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-332-7080",
        "authorized_official_credential": "CH"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.