Individual provider Active NPI

William Chad Neeld, D.C.

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1033365754
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9617 Issued in FL
Practice address
1850 SW Fountainview Blvd Ste 202
Port St Lucie, FL 34986-4527
Phone
(727) 777-2246
Fax
(772) 905-4869
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9617 FL Primary

Addresses

Primary practice location

1850 SW Fountainview Blvd Ste 202
Port St Lucie, FL 34986-4527

Mailing address

1102 W Indiantown Rd
Suite 11
Jupiter, FL 33458-6813
Phone (561) 741-1316

Other identifiers 1

IdentifierTypeStateIssuer
CH9617OtherFLSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090722000282 FL Practitioner - Chiropractic 3375695323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neeld Family Chiropractic LLCGroup PAC ID 6103248950, 2 clinicians

Practice addresses (Care Compare)

1850 SW Fountainview Blvd
Suite 202
Port St Lucie, FL 34986-4527
Phone (772) 777-2246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9617FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nielson Family Chiropractic PLLC Chiropractor CurrentSince Sep 1, 2022 Accepting new patients
Neeld Family Chiropractic, LLC Chiropractor CurrentSince Mar 1, 2020 Accepting new patients

Locations

1102 W Indiantown Rd
Ste 11
Jupiter, FL 33458
Phone (561) 741-1316

1850 SW Fountainview Blvd
Ste 202
Port St Lucie, FL 34986
Phone (772) 777-2246

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1033365754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W INDIANTOWN RD",
            "address_2": "SUITE 11",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586813",
            "telephone_number": "561-741-1316",
            "fax_number": "561-741-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SW FOUNTAINVIEW BLVD STE 202",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864527",
            "telephone_number": "727-777-2246",
            "fax_number": "772-905-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELD",
        "first_name": "WILLIAM",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CH9617",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.

Verify at the official NPI Registry.