Active NPI
Hector Louis De Jesus, D.C.
- Chiropractor
- Orlando, FL
National Provider Identifier
1760023477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12950
- Practice address
- 822 Mercy Dr
Orlando, FL 32808-7820 - Phone
- (407) 630-7749
- NPI assigned
- Oct 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12950 | FL | Primary |
Addresses
Primary practice location
822 Mercy Dr
Orlando, FL 32808-7820
Mailing address
822 Mercy Dr
Orlando, FL 32808-7820
Phone (407) 630-7749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12950 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Physical Medicine of West Orlando LLC | Current | Accepting new patients |
Locations
822 Mercy Dr
Orlando, FL 32808
Phone (407) 630-7749
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.
-
- Specialist
- Orlando, FL
- NPI 1821445883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1760023477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 MERCY DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087820",
"telephone_number": "407-630-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 MERCY DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087820",
"telephone_number": "407-630-7749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "HECTOR",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "12950",
"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 Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.