Organization Active NPI

Chiroworks, LLC

  • Chiropractor
  • Winter Haven, FL
National Provider Identifier
1245667534
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9893 Issued in FL
Legal business name
CHIROWORKS, LLC
Practice address
5937 Cypress Gardens Blvd Ste 200
Winter Haven, FL 33884-2287
Phone
(863) 324-5200
Fax
(863) 324-2444
NPI assigned
Oct 1, 2013
Last updated
Oct 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Dr. Cecil Lancer Willaford, DCNPI 1427002781
Title
Physician
Phone
(863) 589-2077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9893 FL Primary

Addresses

Primary practice location

5937 Cypress Gardens Blvd Ste 200
Winter Haven, FL 33884-2287

Mailing address

PO Box 267
Waverly, FL 33877-0267
Phone (863) 324-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131105000469 FL Part B Supplier - Clinic/Group Practice 7911132667 Receives reassigned benefits from 1 practitioner
Practice locations: Winter Haven, FL

National Provider Directory

National Provider Directory

Locations

5937 Cypress Gardens Blvd
Ste 200
Winter Haven, FL 33884
Phone (863) 324-5200

Practitioners & affiliated clinicians

Practitioners 1

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": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1245667534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "WAVERLY",
            "state": "FL",
            "postal_code": "338770267",
            "telephone_number": "863-324-5200",
            "fax_number": "863-324-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5937 CYPRESS GARDENS BLVD STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338842287",
            "telephone_number": "863-324-5200",
            "fax_number": "863-324-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROWORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "WILLAFORD",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "LANCER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "863-589-2077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.