Atlas Cruz LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ATLAS CRUZ LLC

Practice address

4800 W Hillsboro Blvd Ste A11
Coconut Creek, FL 33073-4370

Phone

(954) 481-2828

Fax

(954) 481-2830

NPI assigned

Oct 17, 2024

Organization subpart

No

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

Authorized official

Name

Devon Lyons, DCNPI 1548081185

Title

President

Phone

(561) 906-2125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devon Matthew Lyons, DC

  • Chiropractor
  • Coconut Creek, FL
  • NPI 1548081185
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1609697259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8339 FISHERS ISLAND WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345873",
            "telephone_number": "561-906-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W HILLSBORO BLVD STE A11",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734370",
            "telephone_number": "954-481-2828",
            "fax_number": "954-481-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS CRUZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-906-2125",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Back in Action

• Chiropractor in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.