Individual provider Active NPI

Tiffany Wai Loc, D.C.

  • Chiropractor
  • Palm City, FL
National Provider Identifier
1285189688
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11882 Issued in FL
Practice address
3662 SW 30TH Ave
Suite 2
Palm City, FL 34990-3720
Phone
(772) 220-5880
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11882 FL Primary

Addresses

Primary practice location

3662 SW 30TH Ave
Suite 2
Palm City, FL 34990-3720

Mailing address

1951 SW Palm City Rd
Unit 26-I
Stuart, FL 34994-4296
Phone (215) 584-3828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190816000526 FL Practitioner - Chiropractic 6305173147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3555 SW Corporate Pkwy
Palm City, FL 34990-8152
Phone (772) 266-9447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Next Wellness LLC CurrentSince Jul 2, 2019 Accepting new patients
Comprehensive Health Specialists, LLC PastSince Jul 18, 2014 Accepting new patients

Locations

3555 SW Corporate Pkwy
Palm City, FL 34990
Phone (215) 584-3828

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": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1285189688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SW PALM CITY RD",
            "address_2": "UNIT 26-I",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944296",
            "telephone_number": "215-584-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 SW 30TH AVE",
            "address_2": "SUITE 2",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903720",
            "telephone_number": "772-220-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOC",
        "first_name": "TIFFANY",
        "middle_name": "WAI",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.