Individual provider Active NPI

Cecil E. Ashby III, D.C.

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1669523064
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7679 Issued in FL
Practice address
400 Clyde Morris Blvd Ste C
Ormond Beach, FL 32174-8172
Phone
(386) 672-3305
Fax
(800) 429-7089
NPI assigned
Jan 15, 2007
Last updated
Jan 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7679 FL Primary

Addresses

Primary practice location

400 Clyde Morris Blvd Ste C
Ormond Beach, FL 32174-8172

Mailing address

400 Clyde Morris Blvd Ste C
Ormond Beach, FL 32174-8172
Phone (386) 672-3305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080927000006 FL Practitioner - Chiropractic 5890862205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cea III LLCGroup PAC ID 2163599572, 2 clinicians

Practice addresses (Care Compare)

400 Clyde Morris Blvd
Suite C
Ormond Beach, FL 32174-8172
Phone (386) 672-3305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cea III LLC Chiropractor CurrentSince May 1, 2008 Accepting new patients

Locations

400 Clyde Morris Blvd
Ste C
Ormond Beach, FL 32174
Phone (386) 672-3305

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1669523064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CLYDE MORRIS BLVD STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748172",
            "telephone_number": "386-672-3305",
            "fax_number": "800-429-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CLYDE MORRIS BLVD STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748172",
            "telephone_number": "386-672-3305",
            "fax_number": "800-429-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "CECIL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.