Individual provider Active NPI

Ilean M Santos Colon, D.C.

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1801251301
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11731 Issued in FL
Practice address
857 Woodbury Rd Ste 102
Orlando, FL 32828-4505
Phone
(407) 440-0026
Fax
(407) 440-0027
NPI assigned
Dec 28, 2015
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11731 FL Primary

Addresses

Primary practice location

857 Woodbury Rd Ste 102
Orlando, FL 32828-4505

Mailing address

857 Woodbury Rd Ste 102
Orlando, FL 32828-4505
Phone (407) 440-0026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914001845 FL Practitioner - Chiropractic 9133457815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

857 Woodbury Rd
Suite 102
Orlando, FL 32828-4505
Phone (407) 440-0026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11731FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Family Chiropractic LLC Chiropractor CurrentSince Jan 11, 2021 Accepting new patients
Glame Chiropractic, Inc Chiropractor PastSince May 25, 2019 Accepting new patients

Locations

857 Woodbury Rd
Ste 102
Orlando, FL 32828
Phone (407) 440-0026

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1801251301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 WOODBURY RD STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284505",
            "telephone_number": "407-440-0026",
            "fax_number": "407-440-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 WOODBURY RD STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284505",
            "telephone_number": "407-440-0026",
            "fax_number": "407-440-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS COLON",
        "first_name": "ILEAN",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11731",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 3, 2023; 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.