Individual provider Active NPI

Joshua Lee Otiniano, D.C.

  • Nutrition Chiropractor
  • Tampa, FL
National Provider Identifier
1831411073
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
CH7899 Issued in FL
Practice address
4602 N Armenia Ave
Suite B-4/ B-5
Tampa, FL 33603-2626
Phone
(813) 874-6600
Fax
(813) 874-6601
NPI assigned
Feb 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X CH7899 FL Primary

Addresses

Primary practice location

4602 N Armenia Ave
Suite B-4/ B-5
Tampa, FL 33603-2626

Mailing address

4602 N Armenia Ave
Suite B-4/ B-5
Tampa, FL 33603-2626
Phone (813) 874-6600

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
CH7899FLMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiromed Chiropractic Center, Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266192000000",
    "number": "1831411073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 N ARMENIA AVE",
            "address_2": "SUITE B-4/ B-5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032626",
            "telephone_number": "813-874-6600",
            "fax_number": "813-874-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 N ARMENIA AVE",
            "address_2": "SUITE B-4/ B-5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032626",
            "telephone_number": "813-874-6600",
            "fax_number": "813-874-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTINIANO",
        "first_name": "JOSHUA",
        "middle_name": "LEE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH7899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.