Organization Active NPI

Auburndale Chiropractic,LLC

  • Chiropractor
  • Auburndale, FL
National Provider Identifier
1962671552
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8530 Issued in FL
Legal business name
AUBURNDALE CHIROPRACTIC,LLC
Practice address
214 Main St.
Auburndale Chiropractic, LLC
Auburndale, FL 33823
Phone
(863) 968-0088
Fax
(863) 968-0181
NPI assigned
Feb 27, 2008
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Mrs. Sara Beryl Sundermeyer, DCNPI 1285618512
Title
Owner
Phone
(863) 968-0088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8530 FL Primary

Addresses

Primary practice location

214 Main St.
Auburndale Chiropractic, LLC
Auburndale, FL 33823

Mailing address

214 Main St.
Auburndale Chiropractic, LLC
Auburndale, FL 33823
Phone (863) 968-0088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060127000622 FL Part B Supplier - Clinic/Group Practice 6800800939 Receives reassigned benefits from 1 practitioner
Practice locations: Auburndale, FL

National Provider Directory

National Provider Directory

Locations

214 Main St
Auburndale, FL 33823
Phone (863) 968-0088

305 Main St
Ste B
Auburndale, FL 33823
Phone (863) 247-8267

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1962671552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MAIN ST.",
            "address_2": "AUBURNDALE CHIROPRACTIC, LLC",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "33823",
            "telephone_number": "863-968-0088",
            "fax_number": "863-968-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MAIN ST.",
            "address_2": "AUBURNDALE CHIROPRACTIC, LLC",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "33823",
            "telephone_number": "863-968-0088",
            "fax_number": "863-968-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURNDALE CHIROPRACTIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "SUNDERMEYER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "BERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-968-0088",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.