Organization Active NPI

Cea III LLC

Doing business as Total Health of Ormond Beach

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1336308246
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7679 Issued in FL
Legal business name
CEA III LLC
Doing business as
Total Health of Ormond Beach
Practice address
400 Clyde Morris Blvd Ste C
Ormond Beach, FL 32174-8172
Phone
(386) 672-3305
Fax
(800) 429-7089
NPI assigned
Jun 5, 2008
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Cecil E Ashby III, D.C.NPI 1669523064
Title
Managing Member
Phone
(386) 672-3305

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 CH7679 FL Primary

Addresses

Primary practice location

400 Clyde Morris Blvd Ste C
Ormond Beach, FL 32174-8172

Mailing address

400 Clyde Morris Blvd Ste C
Ormond Beach, FL 32174-8172
Phone (386) 672-3305

Other names 1

  • Total Health of Ormond Beach Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080927000013 FL Part B Supplier - Clinic/Group Practice 2163599572 Receives reassigned benefits from 2 practitioners
Practice locations: Ormond Beach, FL

National Provider Directory

National Provider Directory

Locations

400 Clyde Morris Blvd
Ste C
Ormond Beach, FL 32174
Phone (386) 672-3305

Practitioners & affiliated clinicians

Practitioners 4

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1336308246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CLYDE MORRIS BLVD STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748172",
            "telephone_number": "386-672-3305",
            "fax_number": "800-429-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CLYDE MORRIS BLVD STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748172",
            "telephone_number": "386-672-3305",
            "fax_number": "800-429-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEA III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "ASHBY",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "386-672-3305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Health of Ormond Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.