Individual provider Active NPI

Daniel J Pavlik Jr., DC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1902906639
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9201 Issued in FL
Practice address
102 W Pineloch Ave Ste 11
Orlando, FL 32806-6100
Phone
(407) 423-4761
Fax
(407) 422-9327
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9201 FL Primary

Addresses

Primary practice location

102 W Pineloch Ave Ste 11
Orlando, FL 32806-6100

Mailing address

102 W Pineloch Ave Ste 11
Orlando, FL 32806-6100
Phone (407) 423-4761

Other identifiers 3

IdentifierTypeStateIssuer
11953531OtherFLCAQH
78052OtherFLBLUE CROSS BLUE SHILED
701721OtherFLUNITED HEALTH CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070717000605 FL Practitioner - Chiropractic 3577663749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Healthcare of Orlando IncGroup PAC ID 3274564737, 5 clinicians

Practice addresses (Care Compare)

102 W Pineloch Ave
Suite 11
Orlando, FL 32806-6100
Phone (407) 423-4761

2014 S Orange Ave
Suite 200
Orlando, FL 32806-3069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9201FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Access Healthcare of Orlando Inc Chiropractor CurrentSince Jan 1, 2007 Accepting new patients
Access Ipc LLC CurrentSince Mar 7, 2016 Accepting new patients

Locations

2014 S Orange Ave
Orlando, FL 32806
Phone (321) 423-4761

2014 S Orange Ave
Ste 200
Orlando, FL 32806
Phone (407) 423-4761

102 W Pineloch Ave
Ste 11
Orlando, FL 32806
Phone (407) 423-4761

Organizations & group practices 2

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1902906639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W PINELOCH AVE STE 11",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066100",
            "telephone_number": "407-423-4761",
            "fax_number": "407-422-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W PINELOCH AVE STE 11",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066100",
            "telephone_number": "407-423-4761",
            "fax_number": "407-422-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLIK",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11953531",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED",
            "identifier": "78052",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "701721",
            "state": "FL"
        }
    ],
    "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 Dec 9, 2025; 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.