Active NPI
Heidyleen Cruz, D.C.
- Chiropractor
- Davenport, FL
National Provider Identifier
1104221241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11275
- Practice address
- 2320 North Blvd W Ste B
Davenport, FL 33837-8961 - Phone
- (863) 226-6300
- Fax
- (863) 240-0920
- NPI assigned
- Oct 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11275 | FL | Primary |
Addresses
Primary practice location
2320 North Blvd W Ste B
Davenport, FL 33837-8961
Mailing address
40230 US Highway 27 N
Suite 160
Davenport, FL 33837-2636
Phone (407) 466-8266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2320 N Blvd W
Suite B
Davenport, FL 33837-8961
Phone (863) 226-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11275 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Life Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
2320 North Blvd W
Ste B
Davenport, FL 33837
Phone (863) 226-6300
40230 Highway 27
Ste 160
Davenport, FL 33837
Phone (407) 354-1091
Organizations & group practices 1
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.
-
- Chiropractor
- Davenport, FL
- NPI 1194184481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1104221241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40230 US HIGHWAY 27 N",
"address_2": "SUITE 160",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338372636",
"telephone_number": "407-466-8266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 NORTH BLVD W STE B",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338378961",
"telephone_number": "863-226-6300",
"fax_number": "863-240-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "HEIDYLEEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-31",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.