Organization Active NPI

Beller Chiropractic Florida, LLC

  • Chiropractor
  • Winter Garden, FL
National Provider Identifier
1982953923
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10659 Issued in FL
Legal business name
BELLER CHIROPRACTIC FLORIDA, LLC
Practice address
13355 W Colonial Dr
Winter Garden, FL 34787-3970
Phone
(407) 614-2075
NPI assigned
Sep 6, 2012
Last updated
Sep 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Dr. Bryan Donald Beller, D.C.
Title
Owner
Phone
(407) 949-2173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10659 FL Primary

Addresses

Primary practice location

13355 W Colonial Dr
Winter Garden, FL 34787-3970

Mailing address

13355 W Colonial Dr
Winter Garden, FL 34787-3970
Phone (407) 614-2075

Other identifiers 1

IdentifierTypeStateIssuer
143151958MedicaidMI

Other names 1

  • Beller Chiropractic Florida Other name

National Provider Directory

National Provider Directory

Locations

13355 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 614-2075

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1982953923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13355 W COLONIAL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873970",
            "telephone_number": "407-614-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13355 W COLONIAL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873970",
            "telephone_number": "407-614-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLER CHIROPRACTIC FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "BELLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-949-2173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143151958",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beller Chiropractic Florida",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.