Active NPI
Clifford Gregory Cheatwood, D.C.
- Chiropractor
- Lakeland, FL
National Provider Identifier
1255504833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH3389
- Practice address
- 6432 Longwood Trace LN N
Lakeland, FL 33811-3115 - Phone
- (863) 644-3040
- NPI assigned
- Apr 3, 2008
- Sex
- Male
- 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 | CH3389 | FL | Primary |
Addresses
Primary practice location
6432 Longwood Trace LN N
Lakeland, FL 33811-3115
Mailing address
6432 Longwood Trace LN N
Lakeland, FL 33811-3115
Phone (863) 644-3040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH3389 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1255504833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6432 LONGWOOD TRACE LN N",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338113115",
"telephone_number": "863-644-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6432 LONGWOOD TRACE LN N",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338113115",
"telephone_number": "863-644-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATWOOD",
"first_name": "CLIFFORD",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-03",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH3389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
- Samuel Chavez Herrera, MD
- Yohel Chavez la Rosa, MD
- Jorge L Chavez, MD
- Cheatwood Chiropractic Offices, PA
- Chris W Cheatwood, D.C.
- Francisco Joseph Chebly, MD
- Checker Cab Company of Lakeland, Inc
- Laurielys Cheeseman
- Chen Neighborhood Medical of North Lakeland, LLC
- Chen Neighborhood Medical of South Lakeland, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.