Individual provider Active NPI

Cicily Payne, D.C.

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1295851152
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8614 Issued in FL
Practice address
2950 Griffin Rd
Fort Lauderdale, FL 33312-5648
Phone
(954) 924-6151
Fax
(954) 924-1540
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 8614 FL Primary

Addresses

Primary practice location

2950 Griffin Rd
Fort Lauderdale, FL 33312-5648

Mailing address

50 NW 109TH St
Miami Shores, FL 33168-4315
Phone (305) 651-6818

Other practice location 1

290 NW 165th St
Ste. P-250
Miami, FL 33169-6482
Phone (305) 948-9977

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 8614FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1295851152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NW 109TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331684315",
            "telephone_number": "305-651-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 GRIFFIN RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125648",
            "telephone_number": "954-924-6151",
            "fax_number": "954-924-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 NW 165th St",
            "address_2": "Ste. P-250",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331696482",
            "country_code": "US",
            "telephone_number": "305-948-9977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "CICILY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8614",
            "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 May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.