Individual provider Active NPI

Gordon Gregory Cheyne, DC

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1508952557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7284 Issued in FL
Practice address
5050 S 25TH Street
Fort Pierce, FL 34981-4923
Phone
(772) 468-8891
Fax
(772) 468-7929
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7284 FL Primary

Addresses

Primary practice location

5050 S 25TH Street
Fort Pierce, FL 34981-4923

Mailing address

5050 S 25TH Street
Fort Pierce, FL 34981-4923
Phone (772) 468-8891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120905000592 FL Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 4082861505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Life Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheyne Family Chiropractic CentreGroup PAC ID 5193986149, 2 clinicians

Practice addresses (Care Compare)

5050 S 25TH St
Fort Pierce, FL 34981-4923
Phone (772) 468-8891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyne Family Chiropractic Centre Chiropractor CurrentSince Mar 9, 2012 Accepting new patients

Locations

5050 S 25th St
Fort Pierce, FL 34981
Phone (772) 216-3634

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508952557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 S 25TH STREET",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814923",
            "telephone_number": "772-468-8891",
            "fax_number": "772-468-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 S 25TH STREET",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814923",
            "telephone_number": "772-468-8891",
            "fax_number": "772-468-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEYNE",
        "first_name": "GORDON",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.