Individual provider Active NPI

Jorge Javier Zayas Henriquez, DC

  • Chiropractor
  • Deland, FL
National Provider Identifier
1750165718
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14673 Issued in FL
Practice address
1770 S Woodland Blvd
Deland, FL 32720-7915
Phone
(386) 414-7440
NPI assigned
Aug 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 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 14673 FL Primary

Addresses

Primary practice location

1770 S Woodland Blvd
Deland, FL 32720-7915

Mailing address

8061 Allure Cir Apt 621
Debary, FL 32713-2796
Phone (787) 587-8579

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424001881 FL Practitioner - Chiropractic 2365882370 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14673FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Next Medical Florida LLC Chiropractor CurrentSince Mar 16, 2024 Accepting new patients

Locations

1770 S Woodland Blvd
Deland, FL 32720
Phone (386) 414-7440

1764 S Woodland Blvd
Deland, FL 32720
Phone (386) 734-9400

877 S Orange Blossom Trl
Forest City, FL 32703
Phone (407) 889-3223

426 SW Commerce Dr
Ste 101
Lake City, FL 32025
Phone (386) 755-2240

12789 Waterford Lakes Pkwy
Ste 89
Orlando, FL 32828
Phone (407) 745-4152

6285 Minton Rd NE
Palm Bay, FL 32907
Phone (321) 306-0300

Organizations & group practices 1

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1750165718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 ALLURE CIR APT 621",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132796",
            "telephone_number": "787-587-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207915",
            "telephone_number": "386-414-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYAS HENRIQUEZ",
        "first_name": "JORGE",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.