Active NPI
Jeffrey Richard Walters, CH
- Chiropractor
- Viera, FL
National Provider Identifier
1659479772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10505
- Practice address
- 3583 Gatwick Manor LN
Viera, FL 32940-8408 - Phone
- (321) 549-7097
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10505 | FL | Primary |
Addresses
Primary practice location
3583 Gatwick Manor LN
Viera, FL 32940-8408
Mailing address
3583 Gatwick Manor LN
Viera, FL 32940-8408
Phone (321) 549-7097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canuel Chiropractic & Massage, Inc | Chiropractor | Past | Accepting new patients |
| Hogberg PC | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Canuel Chiropractic & Wellness Center
- Chiropractor
- W Melbourne, FL
- NPI 1427341973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1659479772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3583 GATWICK MANOR LN",
"city": "VIERA",
"state": "FL",
"postal_code": "329408408",
"telephone_number": "321-549-7097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3583 GATWICK MANOR LN",
"city": "VIERA",
"state": "FL",
"postal_code": "329408408",
"telephone_number": "321-549-7097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "JEFFREY",
"middle_name": "RICHARD",
"credential": "CH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.