Charles Thomas Witherell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH6625 Issued in FL

Practice address

974 Old Dixie Hwy
Homestead, FL 33030-4933

Phone

(305) 247-7300

Fax

(305) 248-0513

NPI assigned

May 1, 2006

Last updated

Nov 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Witherell Chiropractic Health Center, Inc.

  • Chiropractor
  • Homestead, FL
  • NPI 1528361011
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1760440788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 NE 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304557",
            "telephone_number": "305-247-7300",
            "fax_number": "305-248-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 OLD DIXIE HWY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304933",
            "telephone_number": "305-247-7300",
            "fax_number": "305-248-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERELL",
        "first_name": "CHARLES",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6625",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381-778-400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrance Wilson
• Christine V Wingfield, MS, MBA, CEAP
• Shelby Wion, LMT
• With Open Arms Group Home, Inc
• Witherell Chiropractic Health Center, Inc.
• Francis Woedje Wodie, D.P.M.
• Wombology
• Sophia K Wong, LMT
• Nathalee Wood, CCC-SLP
• Natalie Faye Wright

• Chiropractor in Homestead, FL
• Providers in Homestead, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.