Organization Active NPI

Winter Park Spine & Injury

  • Chiropractor
  • Winter Park, FL
National Provider Identifier
1902226129
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 2545 Issued in FL
Legal business name
WINTER PARK SPINE & INJURY
Practice address
5502 Lake Howell Rd
Winter Park, FL 32792-1036
Phone
(407) 671-1256
NPI assigned
Apr 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Dr. Rex Roffler, D.C.
Title
Officer
Phone
(407) 671-1256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH 2545 FL Primary

Addresses

Primary practice location

5502 Lake Howell Rd
Winter Park, FL 32792-1036

Mailing address

5502 Lake Howell Rd
Winter Park, FL 32792-1036
Phone (407) 671-1256

Other identifiers 1

IdentifierTypeStateIssuer
1992996607OtherFLNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1902226129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 LAKE HOWELL RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921036",
            "telephone_number": "407-671-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 LAKE HOWELL RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921036",
            "telephone_number": "407-671-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINTER PARK SPINE & INJURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-27",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "ROFFLER",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "407-671-1256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 2545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992996607",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.