Organization Active NPI

Waldron Chiropractic Health Center

  • Chiropractor
  • Sebring, FL
National Provider Identifier
1639354988
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5915 Issued in FL
Legal business name
WALDRON CHIROPRACTIC HEALTH CENTER
Practice address
13 Ryant Blvd
Sebring, FL 33870-8075
Phone
(863) 382-4445
Fax
(863) 382-4447
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Dr. David Keatley Waldron, DC
Title
Owner
Phone
(863) 382-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH5915 FL Primary

Addresses

Primary practice location

13 Ryant Blvd
Sebring, FL 33870-8075

Mailing address

13 Ryant Blvd
Sebring, FL 33872-4075
Phone (863) 382-4445

Other identifiers 1

IdentifierTypeStateIssuer
22537OtherFLMEDICARE ID NUMNER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1639354988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 RYANT BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338724075",
            "telephone_number": "863-382-4445",
            "fax_number": "863-382-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 RYANT BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708075",
            "telephone_number": "863-382-4445",
            "fax_number": "863-382-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDRON CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KEATLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-382-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMNER",
            "identifier": "22537",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.