Individual provider Active NPI

Daniel Gustavo Cohen, D.C.

  • Chiropractor
  • Winter Park, FL
National Provider Identifier
1790847713
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6763 Issued in FL
Practice address
1810 State Road 436
# 104
Winter Park, FL 32792-2238
Phone
(407) 672-1616
Fax
(407) 672-0613
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6763 FL Primary

Addresses

Primary practice location

1810 State Road 436
# 104
Winter Park, FL 32792-2238

Mailing address

1810 State Road 436
# 104
Winter Park, FL 32792-2238
Phone (407) 672-1616

Other identifiers 4

IdentifierTypeStateIssuer
XOY961OtherFLBLUE CROSS BLUE SHIELD
317242OtherFLCHIRO ALLIANCE CORP.
9902787OtherFLCIGNA
7654022OtherFLAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050726000043 FL Practitioner - Chiropractic 5092742643 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mauricio Chiropractic Clinics PAGroup PAC ID 2860429669, 3 clinicians

Practice addresses (Care Compare)

1050 N Pine Hills Rd
Orlando, FL 32808-7124
Phone (407) 297-3666

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
Mauricio Chiropractic Group Inc Chiropractor CurrentSince Jul 10, 2019 Accepting new patients
Mauricio Chiropractic Poinciana LLC Chiropractor CurrentSince Jul 10, 2019 Accepting new patients
Mauricio Chiropractic Clinics PA Chiropractor CurrentSince Oct 1, 2004 Accepting new patients
Mauricio Chiropractic Clinics PA Chiropractor CurrentSince Oct 1, 2004 Accepting new patients
Mauricio Chiropractic Dr. Phillips, LLC Chiropractor CurrentSince Jul 10, 2019 Accepting new patients
Mauricio Chiropractic South L L C Chiropractor CurrentSince Jul 10, 2019 Accepting new patients
Mauricio Chiropractic East Colonial, LLC Chiropractor CurrentSince Apr 21, 2006 Accepting new patients

Locations

860 Towne Center Dr
Kissimmee, FL 34759
Phone (407) 483-1266

12278 E Colonial Dr
Ste 700H
Orlando, FL 32826

12278 E Colonial Dr
Ste 700D
Orlando, FL 32826

12278 E Colonial Dr
Ste 700G
Orlando, FL 32826

12720 S Orange Blossom Trl
Ste 20
Orlando, FL 32837
Phone (407) 438-4888

12278 E Colonial Dr
Ste 700W
Orlando, FL 32826

12278 E Colonial Dr
Ste 600H
Orlando, FL 32826

12278 E Colonial Dr
#600F
Orlando, FL 32826

205 E Colonial Dr
Orlando, FL 32801
Phone (407) 649-9699

12278 E Colonial Dr
Orlando, FL 32826
Phone (407) 273-7727

7601 Conroy Windermere Rd
Ste 204
Orlando, FL 32835
Phone (407) 290-6503

4747 Conway Rd
Ste A
Orlando, FL 32812
Phone (407) 240-8430

1050 N Pine Hills Rd
Orlando, FL 32808
Phone (407) 297-3666

12278 E Colonial Dr
Ste 700E
Orlando, FL 32826

12278 E Colonial Dr
Ste 700B
Orlando, FL 32826

1810 State Road 436
Ste 104
Winter Park, FL 32792
Phone (407) 672-1616

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790847713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 STATE ROAD 436",
            "address_2": "# 104",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922238",
            "telephone_number": "407-672-1616",
            "fax_number": "407-672-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 STATE ROAD 436",
            "address_2": "# 104",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922238",
            "telephone_number": "407-672-1616",
            "fax_number": "407-672-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "DANIEL",
        "middle_name": "GUSTAVO",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "XOY961",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRO ALLIANCE CORP.",
            "identifier": "317242",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9902787",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7654022",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.