NPIMap

Organization Active NPI

Hornback Chiropractic and Wellness PA

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1710170675
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8217 Issued in FL
Legal business name
HORNBACK CHIROPRACTIC AND WELLNESS PA
Practice address
11023 Gatewood Dr
Suite 101
Bradenton, FL 34211
Phone
(941) 744-1585
Fax
(941) 744-1572
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Authorized official

Name
Dr. Cynthia Lee Hornback, D.C.NPI 1811056518
Title
Owner
Phone
(941) 744-1585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8217 FL Primary

Addresses

Primary practice location

11023 Gatewood Dr
Suite 101
Bradenton, FL 34211

Mailing address

11023 Gatewood Dr
Suite 101
Bradenton, FL 34211-4945
Phone (941) 744-1585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090324000574 FL Part B Supplier - Clinic/Group Practice 7012074784 Receives reassigned benefits from 5 practitioners
Practice locations: Bradenton, FL; Lakewood Ranch, FL; Palmetto, FL

National Provider Directory

National Provider Directory

Locations

11023 Gatewood Dr
Bradenton, FL 34211

6987 Professional Pkwy
Lakewood Ranch, FL 34240
Phone (941) 210-7057

11023 Gatewood Dr
Ste 101
Lakewood Ranch, FL 34211
Phone (941) 744-1585

8386 Market St
Lakewood Ranch, FL 34202
Phone (941) 210-7057

9544 Buffalo Rd
Palmetto, FL 34221
Phone (941) 417-2069

3090 Fruitville Commons Blvd
Ste 102
Sarasota, FL 34240
Phone (941) 231-2400

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1710170675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11023 GATEWOOD DR",
            "address_2": "SUITE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114945",
            "telephone_number": "941-744-1585",
            "fax_number": "941-744-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11023 GATEWOOD DR",
            "address_2": "SUITE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34211",
            "telephone_number": "941-744-1585",
            "fax_number": "941-744-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORNBACK CHIROPRACTIC AND WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "HORNBACK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-744-1585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.