Individual provider Active NPI

Frederick Charles Herx IV, DC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1467247916
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15435 Issued in FL
Practice address
11900 Atlantic Blvd
Jacksonville, FL 32225-2920
Phone
(904) 338-9400
NPI assigned
Apr 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15435 FL Primary

Addresses

Primary practice location

11900 Atlantic Blvd
Jacksonville, FL 32225-2920

Mailing address

2148 Waterfoot LN
Jacksonville, FL 32246-1132
Phone (904) 347-0036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250613001483 FL Practitioner - Chiropractic 6709397151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Establishment PLLCGroup PAC ID 8527418250, 2 clinicians

Practice addresses (Care Compare)

3980 Southside Blvd
Suite 108
Jacksonville, FL 32216-6612
Phone (904) 436-1106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15435FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Establishment PLLC Chiropractor CurrentSince May 19, 2025 Accepting new patients
Chanatrydc, LLC Chiropractor CurrentSince Oct 9, 2025 Accepting new patients

Locations

2711 University Blvd N
Jacksonville, FL 32211
Phone (904) 473-6700

3980 Southside Blvd
Ste 108
Jacksonville, FL 32216
Phone (904) 436-1106

3980 Southside Blvd
Ste 1
Jacksonville, FL 32216
Phone (904) 436-1106

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1467247916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 WATERFOOT LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461132",
            "telephone_number": "904-347-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252920",
            "telephone_number": "904-338-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERX",
        "first_name": "FREDERICK",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.