Organization Active NPI

Long Family Chiropractic Center, LLC

  • Clinic/Center
  • Orlando, FL
National Provider Identifier
1790059418
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH8154 Issued in FL
Legal business name
LONG FAMILY CHIROPRACTIC CENTER, LLC
Practice address
604 N Thornton Ave
Orlando, FL 32803-4634
Phone
(407) 425-3555
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Dr. Yen K Nguyen, D.C.
Title
Director
Phone
(407) 425-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH8154 FL Primary

Addresses

Primary practice location

604 N Thornton Ave
Orlando, FL 32803-4634

Mailing address

604 N Thornton Ave
Orlando, FL 32803-4634
Phone (407) 425-3555

Other identifiers 1

IdentifierTypeStateIssuer
001930000MedicaidFL

National Provider Directory

National Provider Directory

Locations

604 N Thornton Ave
Orlando, FL 32803
Phone (407) 425-3555

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1790059418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N THORNTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034634",
            "telephone_number": "407-425-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N THORNTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034634",
            "telephone_number": "407-425-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG FAMILY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "YEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-425-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH8154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001930000",
            "state": "FL"
        }
    ],
    "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 Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.