Organization Active NPI

Alexandra Healthcare, LLC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1871594119
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4743 Issued in FL
Legal business name
ALEXANDRA HEALTHCARE, LLC
Practice address
110 N Kirkman Rd
Orlando, FL 32811-1404
Phone
(407) 291-1000
Fax
(407) 291-2538
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Dr. Gary Stuart Grossman, DCNPI 1881676542
Title
Owner
Phone
(407) 291-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH4743 FL Primary

Addresses

Primary practice location

110 N Kirkman Rd
Orlando, FL 32811-1404

Mailing address

110 N Kirkman Rd
Orlando, FL 32811-1404
Phone (407) 291-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111109000069 FL Part B Supplier - Clinic/Group Practice 2769655679 Receives reassigned benefits from 2 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1871594119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N KIRKMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111404",
            "telephone_number": "407-291-1000",
            "fax_number": "407-291-2538"
        },
        {
            "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",
            "fax_number": "407-291-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-291-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4743",
            "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 Oct 28, 2011; 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.