Individual provider Active NPI

Anthony G Nalda, D.C.

  • Chiropractor
  • Celebration, FL
National Provider Identifier
1770619587
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 7445 Issued in FL
Practice address
604 Front St
Celebration, FL 34747-4675
Phone
(321) 939-2328
Fax
(407) 965-4485
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151120001772 FL Practitioner - Chiropractic 4183924467 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CH 7445FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Celebration Family Chiropractic Chiropractor Current Accepting new patients
Celebration Family Chiropractic Clinic Inc Chiropractor CurrentSince Jan 1, 2014 Accepting new patients
Nalda Family Chiropractic Chiropractor Past Accepting new patients

Locations

604 Front St
Kissimmee, FL 34747
Phone (321) 939-2328

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 7445 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

604 Front St
Celebration, FL 34747-4675

Mailing address

604 Front St
Celebration, FL 34747-4675
Phone (321) 939-2328

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
463786867OtherFLTAX ID
55655OtherFLBCBS
381121200MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2017.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1770619587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 FRONT ST",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474675",
            "telephone_number": "321-939-2328",
            "fax_number": "407-965-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 FRONT ST",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474675",
            "telephone_number": "321-939-2328",
            "fax_number": "407-965-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALDA",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "463786867",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55655",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381121200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.