Source Family Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOURCE FAMILY CHIROPRACTIC INC.

Practice address

12200 W Colonial Dr
Ste 201
Winter Garden, FL 34787-4125

Phone

(407) 347-3246

NPI assigned

May 31, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Alex Lopatnyuk, D.C.

Title

Chiropractor/ President

Phone

(407) 347-3246

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Freemyer, D.C.

  • Chiropractor
  • Winter Garden, FL
  • NPI 1386081339
  NPD (past)
• Aleksander Lopatnyuk, D.C.

  • Chiropractor
  • Winter Garden, FL
  • NPI 1770920738
  NPD (past)

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1790122752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W COLONIAL DR",
            "address_2": "STE 201",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874125",
            "telephone_number": "407-347-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W COLONIAL DR",
            "address_2": "STE 201",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874125",
            "telephone_number": "407-347-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "LOPATNYUK",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CHIROPRACTOR/ PRESIDENT",
        "authorized_official_telephone_number": "407-347-3246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.