Individual provider Active NPI

Ismael Joel Semidey, DC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1811773690
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14634 Issued in FL
Practice address
521 N Kirkman Rd # 130
Orlando, FL 32808-7644
Phone
(407) 440-4658
NPI assigned
Sep 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 CH14634 FL Primary

Addresses

Primary practice location

521 N Kirkman Rd # 130
Orlando, FL 32808-7644

Mailing address

1200 Floral Springs Blvd Unit 29307
Port Orange, FL 32129-6854
Phone (787) 673-2889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH14634FLMDChiropractor

Interoperability endpoints

  • Direct secure messaging: ismael.semidey.1@33334.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1811773690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FLORAL SPRINGS BLVD UNIT 29307",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296854",
            "telephone_number": "787-673-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N KIRKMAN RD # 130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087644",
            "telephone_number": "407-440-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMIDEY",
        "first_name": "ISMAEL",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14634",
            "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 Sep 6, 2023; 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.