Organization Active NPI

Cox Chiropractic Care

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1710403217
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11253 Issued in FL
Legal business name
COX CHIROPRACTIC CARE
Practice address
1430 SW Saint Lucie West Blvd Ste 103
Port St Lucie, FL 34986-2134
Phone
(772) 878-3240
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Dr. Clifton Wade Cox, DCNPI 1962802652
Title
Dr. / Owner
Phone
(772) 878-3240

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 CH11253 FL Primary

Addresses

Primary practice location

1430 SW Saint Lucie West Blvd Ste 103
Port St Lucie, FL 34986-2134

Mailing address

1430 SW Saint Lucie West Blvd Ste 103
Port St Lucie, FL 34986-2134
Phone (772) 878-3240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171129001718 FL Part B Supplier - Clinic/Group Practice 8527325505 Receives reassigned benefits from 1 practitioner
Practice locations: Port St Lucie, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1710403217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SW SAINT LUCIE WEST BLVD STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862134",
            "telephone_number": "772-878-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 SW SAINT LUCIE WEST BLVD STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862134",
            "telephone_number": "772-878-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COX CHIROPRACTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "DR. / OWNER",
        "authorized_official_telephone_number": "772-878-3240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.