Individual provider Active NPI

Gregory Joseph Booth, DC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1811735806
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15074 Issued in FL
Practice address
110 N Kirkman Rd
Orlando, FL 32811-1404
Phone
(407) 291-1000
NPI assigned
Jul 16, 2024
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15074 FL Primary

Addresses

Primary practice location

110 N Kirkman Rd
Orlando, FL 32811-1404

Mailing address

120 International Pkwy Ste 124
Lake Mary, FL 32746-5052
Phone (407) 734-2272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250620000706 FL Practitioner - Chiropractic 2264944891 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15074FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heathrow Chiropractic Inc Chiropractor CurrentSince Apr 14, 2025 Accepting new patients
Alexandra Healthcare, LLC Chiropractor CurrentSince Jul 30, 2024 Accepting new patients

Locations

120 International Pkwy
Ste 124
Lake Mary, FL 32746
Phone (407) 829-2133

110 N Kirkman Rd
Orlando, FL 32811
Phone (407) 291-1000

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1811735806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY STE 124",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465052",
            "telephone_number": "407-734-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N KIRKMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111404",
            "telephone_number": "407-291-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "GREGORY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15074",
            "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 Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.