Individual provider Active NPI

Juan Caceres, D.C.

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1386061877
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11156 Issued in FL
Practice address
2650 Bahia Vista St Ste 304
Sarasota, FL 34239-2634
Phone
(941) 777-3375
Fax
(941) 451-2011
NPI assigned
Mar 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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 11156 FL Primary

Addresses

Primary practice location

2650 Bahia Vista St Ste 304
Sarasota, FL 34239-2634

Mailing address

2650 Bahia Vista St Ste 304
Sarasota, FL 34239-2634
Phone (417) 773-3759

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018001775 FL Practitioner - Chiropractic 8123473121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2650 Bahia Vista St
Suite 304
Sarasota, FL 34239-2634
Phone (941) 777-3375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 11156FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Chiropractic Family Practice LLC Chiropractor CurrentSince Feb 1, 2014 Accepting new patients

Locations

2650 Bahia Vista St
Ste 304
Sarasota, FL 34239
Phone (941) 366-9711

1379 McAnsh Sq
Sarasota, FL 34236

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1386061877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST STE 304",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392634",
            "telephone_number": "417-773-3759",
            "fax_number": "941-451-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST STE 304",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392634",
            "telephone_number": "941-777-3375",
            "fax_number": "941-451-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.