NPIMap

Organization Active NPI

Modern Health Chiropractic L.L.C

  • Chiropractor
  • Orange City, FL
National Provider Identifier
1861765646
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9679 Issued in FL
Legal business name
MODERN HEALTH CHIROPRACTIC L.L.C
Practice address
760 S Volusia Ave
#100
Orange City, FL 32763-6541
Phone
(386) 218-3799
Fax
(386) 218-3835
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Dr. Christopher Lee Wojcik, D.C
Title
Chiropractic Physician/Owner
Phone
(386) 218-3799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9679 FL Primary

Addresses

Primary practice location

760 S Volusia Ave
#100
Orange City, FL 32763-6541

Mailing address

760 S Volusia Ave
#100
Orange City, FL 32763-6541
Phone (386) 218-3799

Other names 1

  • Modern Health Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

760 S Volusia Ave
Ste 100
Orange City, FL 32763
Phone (386) 218-3799

760 S Volusia Ave
Ste D
Orange City, FL 32763
Phone (386) 218-3799

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1861765646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 S VOLUSIA AVE",
            "address_2": "#100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327636541",
            "telephone_number": "386-218-3799",
            "fax_number": "386-218-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 S VOLUSIA AVE",
            "address_2": "#100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327636541",
            "telephone_number": "386-218-3799",
            "fax_number": "386-218-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN HEALTH CHIROPRACTIC L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "WOJCIK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "386-218-3799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.