Active NPI
Beller Chiropractic Florida, LLC
- Chiropractor
- Winter Garden, FL
National Provider Identifier
1982953923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10659
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143151958 | Medicaid | MI |
Other names 1
- Beller Chiropractic Florida
National Provider Directory
National Provider DirectoryLocations
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.