NPIMap

Organization Active NPI

Encompass Chiropractic Medical & Injury Center,LLC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1821380890
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9316 Issued in FL
Legal business name
ENCOMPASS CHIROPRACTIC MEDICAL & INJURY CENTER,LLC
Practice address
5336 S John Young Pkwy
Orlando, FL 32839-7363
Phone
(407) 802-3855
Fax
(407) 979-4967
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Mr. Victor Manuel Lasa, DC
Title
Ower
Phone
(407) 802-3855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9316 FL Primary

Addresses

Primary practice location

5336 S John Young Pkwy
Orlando, FL 32839-7363

Mailing address

5336 S John Young Pkwy
Orlando, FL 32839-7363
Phone (407) 802-3855

Other names 1

  • N/A Former legal business name

National Provider Directory

National Provider Directory

Locations

5336 S John Young Pkwy
Orlando, FL 32839
Phone (407) 802-3855

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1821380890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 S JOHN YOUNG PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328397363",
            "telephone_number": "407-802-3855",
            "fax_number": "407-979-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 S JOHN YOUNG PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328397363",
            "telephone_number": "407-802-3855",
            "fax_number": "407-979-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOMPASS CHIROPRACTIC MEDICAL & INJURY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "LASA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "407-802-3855",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 10, 2011; 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.