Active NPI
Anthoula Vandoros
- Chiropractor
- Palm Harbor, FL
National Provider Identifier
1770148868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12435
- Practice address
- 2661 E Lake Rd
Palm Harbor, FL 34685-2034 - Phone
- (727) 216-6775
- NPI assigned
- May 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | CH12435 | FL | Primary |
Addresses
Primary practice location
2661 E Lake Rd
Palm Harbor, FL 34685-2034
Mailing address
144 Douglas Rd W Apt F
Oldsmar, FL 34677-2817
Phone (508) 250-9149
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 |
|---|---|---|---|
| CH12435 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serrano Chiropractic Services | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Tampa, FL
- NPI 1073778999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557014400000",
"number": "1770148868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 DOUGLAS RD W APT F",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346772817",
"telephone_number": "508-250-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2661 E LAKE RD",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346852034",
"telephone_number": "727-216-6775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDOROS",
"first_name": "ANTHOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-05",
"last_updated": "2019-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.