Individual provider Active NPI

Cristian Hernandez, DC

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1255871000
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11424 Issued in FL
Practice address
19451 Sheridan St
Fort Lauderdale, FL 33332-1653
Phone
(954) 638-2785
NPI assigned
Feb 27, 2017
Last updated
Apr 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 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 CH11424 FL Primary

Addresses

Primary practice location

19451 Sheridan St
Fort Lauderdale, FL 33332-1653

Mailing address

19451 Sheridan St
Fort Lauderdale, FL 33332-1653
Phone (954) 842-2384

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190723002000 FL Practitioner - Chiropractic 7517293996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19451 Sheridan St
Fort Lauderdale, FL 33332-1653
Phone (954) 842-2384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11424FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Chiropractic & Injury Center Corp. Chiropractor CurrentSince Mar 7, 2019 Accepting new patients

Locations

19451 Sheridan St
Fort Lauderdale, FL 33332
Phone (954) 638-2785

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1255871000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19451 SHERIDAN ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333321653",
            "telephone_number": "954-842-2384",
            "fax_number": "954-589-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19451 SHERIDAN ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333321653",
            "telephone_number": "954-638-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.