Victor Fernandez Ortiz

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010811 Issued in GA

Practice address

715 S Thornton Ave
Dalton, GA 30720-8213

Phone

(706) 609-0023

NPI assigned

Jul 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Infinity Imaging Center LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Fort Myers, FL
  • NPI 1659253946
  NPD
• Pray Chiropractic PC

  • Chiropractor
  • Ringgold, GA
  • NPI 1699277616
  NPD (past)

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1912633652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S THORNTON AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208213",
            "telephone_number": "706-609-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S THORNTON AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208213",
            "telephone_number": "706-609-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ ORTIZ",
        "first_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CHIR010811",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drfernandez@praychiro.com",
            "affiliation": "Y",
            "affiliationName": "Pray Chiropractic P.C.",
            "address_1": "715 S Thornton Ave",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307208213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Leigh Farrar, LAPC
• Patricia Anne Fauscette
• Chandra Denise Fears, LCSW
• Glennys Soraya Febles, ICADC-II
• Michael Fereday
• Ma Katherine C Fernandez, OTR
• Carolina Mitchell Ferrino Gutierrez, M.D.
• Christopher Joel Figueroa Alvarez, DC
• Mark Alan Finley Jr., PA
• Tyler Glynn Fisher, OD

• Chiropractor in Dalton, GA
• Providers in Dalton, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.