Active NPI
Jonathan Craig Wise, D.C.
- Chiropractor
- Mount Dora, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9678
- Practice address
- 17941 US Highway 441
Mount Dora, FL 32757-6717 - Phone
- (352) 516-6820
- NPI assigned
- Jan 5, 2009
- Last updated
- Dec 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9678 | FL | Primary |
Addresses
Primary practice location
17941 US Highway 441
Mount Dora, FL 32757-6717
Mailing address
17941 US Highway 441
Mount Dora, FL 32757-6717
Phone (352) 516-6820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18130 US Hwy 441
Mount Dora, FL 32757-6720
Phone (352) 729-5105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9678 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wise Chiropractic PA | Chiropractor | Current | Accepting new patients |
| Elite Chiropractic & Sports Rehab LLC | Chiropractor | Past | Accepting new patients |
| Chiropractic USA of Buffalo Ridge Inc | Chiropractor | Past | Accepting new patients |
| Keystone Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
17941 US Highway 441
Mount Dora, FL 32757
Phone (352) 516-6820
18130 US Highway 441
Mount Dora, FL 32757
Phone (352) 729-5105
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1942446497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17941 US HIGHWAY 441",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576717",
"telephone_number": "352-516-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17941 US HIGHWAY 441",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576717",
"telephone_number": "352-516-6820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "JONATHAN",
"middle_name": "CRAIG",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-05",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "9678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.