Organization Active NPI

Discovery Association, LLC

  • Chiropractor
  • Port Orange, FL
National Provider Identifier
1801549480
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DISCOVERY ASSOCIATION, LLC
Practice address
5348 Coquina Shores LN
Port Orange, FL 32128-3009
Phone
(845) 544-5359
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Dr. Elyssa Naomi Pagan, DC
Title
Owner/Partner
Phone
(845) 544-5359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5348 Coquina Shores LN
Port Orange, FL 32128-3009

Mailing address

5348 Coquina Shores LN
Port Orange, FL 32128-3009
Phone (845) 544-5359

Other names 1

  • Discovery Association, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3665 Lake Emma Rd
Lake Mary, FL 32746
Phone (407) 431-0541

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1801549480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5348 COQUINA SHORES LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321283009",
            "telephone_number": "845-544-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5348 COQUINA SHORES LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321283009",
            "telephone_number": "845-544-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY ASSOCIATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "ELYSSA",
        "authorized_official_middle_name": "NAOMI",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "845-544-5359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery Association, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.