Individual provider Active NPI

Vernon Martin Ressler III, D.C.

  • Chiropractor
  • Oviedo, FL
National Provider Identifier
1881681260
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7951 Issued in FL
Practice address
870 Clark St. Ste 1040
Oviedo, FL 32765-9270
Phone
(407) 687-5415
Fax
(407) 366-3327
NPI assigned
Sep 30, 2005
Last updated
Jan 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7951 FL Primary

Addresses

Primary practice location

870 Clark St. Ste 1040
Oviedo, FL 32765-9270

Mailing address

870 Clark St. Ste 1040
Oviedo, FL 32765-9270
Phone (407) 977-5005

Other identifiers 2

IdentifierTypeStateIssuer
55683OtherFLBCBS
381358400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060127000296 FL Practitioner - Chiropractic 8325052681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

870 Clark St
Suite 1040
Oviedo, FL 32765-9270
Phone (407) 977-5005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7951FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oviedo Injury & Wellness Center Chiropractor CurrentSince Nov 1, 2005 Accepting new patients

Locations

1000 Executive Dr
Ste 2
Oviedo, FL 32765
Phone (407) 890-9241

870 Clark St
Ste 1040
Oviedo, FL 32765
Phone (407) 687-5415

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1881681260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CLARK ST. STE 1040",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659270",
            "telephone_number": "407-977-5005",
            "fax_number": "407-366-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CLARK ST. STE 1040",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659270",
            "telephone_number": "407-687-5415",
            "fax_number": "407-366-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESSLER",
        "first_name": "VERNON",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55683",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381358400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.