Organization Active NPI

Roberto M Arias DC PA

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1962680769
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6442 Issued in FL
Legal business name
ROBERTO M ARIAS DC PA
Practice address
103 W Oak St
Ste C
Kissimmee, FL 34741-4401
Phone
(407) 847-8070
Fax
(407) 847-6330
NPI assigned
Feb 4, 2008
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Matilde Cancel-Arias
Title
Office Manager
Phone
(407) 847-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6442 FL Primary

Addresses

Primary practice location

103 W Oak St
Ste C
Kissimmee, FL 34741-4401

Mailing address

103 W Oak St
Ste C
Kissimmee, FL 34741-4401
Phone (407) 847-8070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050301000632 FL Part B Supplier - Clinic/Group Practice 2668425752 Receives reassigned benefits from 2 practitioners
Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

103 W Oak St
Ste C
Kissimmee, FL 34741
Phone (407) 847-8070

Practitioners & affiliated clinicians

Practitioners 2

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": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1962680769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W OAK ST",
            "address_2": "STE C",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414401",
            "telephone_number": "407-847-8070",
            "fax_number": "407-847-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W OAK ST",
            "address_2": "STE C",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414401",
            "telephone_number": "407-847-8070",
            "fax_number": "407-847-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO M ARIAS DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "CANCEL-ARIAS",
        "authorized_official_first_name": "MATILDE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-847-8070"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.