Individual provider Active NPI

Dalton Ramirez-Diaz, DC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1740053602
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14598 Issued in FL
Practice address
801 N Magnolia Ave Ste 201
Orlando, FL 32803-3842
Phone
(407) 730-5306
NPI assigned
Nov 2, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14598 FL Primary

Addresses

Primary practice location

801 N Magnolia Ave Ste 201
Orlando, FL 32803-3842

Mailing address

14012 Brogden CT
Orlando, FL 32826-6415
Phone (407) 864-5950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425002272 FL Practitioner - Chiropractic 5991145815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Clermont Chiropractic Life CenterGroup PAC ID 6305824145, 3 clinicians

Practice addresses (Care Compare)

1705 E Hwy 50
Suite B
Clermont, FL 34711-5186
Phone (352) 394-7577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14598FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Life Community Center Inc CurrentSince Nov 5, 2023 Accepting new patients
Clermont Chiropractic Life Center Chiropractor CurrentSince Apr 5, 2024 Accepting new patients
Heart & Life Community Center Inc CurrentSince Nov 5, 2023 Accepting new patients

Locations

1705 E Highway 50
Ste B
Clermont, FL 34711
Phone (352) 394-7577

801 N Magnolia Ave
Ste 201
Orlando, FL 32803
Phone (407) 730-5306

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1740053602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14012 BROGDEN CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328266415",
            "telephone_number": "407-864-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MAGNOLIA AVE STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033842",
            "telephone_number": "407-730-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ-DIAZ",
        "first_name": "DALTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.