Individual provider Active NPI

Herdley D. Harrison, D.C.

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1932245479
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH008751 Issued in FL
Practice address
1814 W Colonial Dr
Orlando, FL 32804-7012
Phone
(407) 373-7200
Fax
(407) 373-7201
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH008751 FL Primary
Chiropractor 111N00000X CHIR5319 GA

Addresses

Primary practice location

1814 W Colonial Dr
Orlando, FL 32804-7012

Mailing address

PO Box 560116
Orlando, FL 32856-0116
Phone (407) 375-7170

Other names 1

  • H. Dennis Harrison Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005319GAMDProfessional Counselor
CH008751FLMDChiropractor
CHIR5319GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
All-Starr Healthcare & Rehab Center, LLC Current Accepting new patients
Allied Healthcare of Central Florida Past Accepting new patients

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1932245479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560116",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328560116",
            "telephone_number": "407-375-7170",
            "fax_number": "407-481-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047012",
            "telephone_number": "407-373-7200",
            "fax_number": "407-373-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "HERDLEY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH008751",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR5319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H.",
            "last_name": "HARRISON",
            "middle_name": "DENNIS",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Apr 5, 2013; 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.