Individual provider Active NPI

Cynthia Lee Hornback, B.S., D.C.

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1811056518
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8217 Issued in FL
Practice address
11023 Gatewood Dr
Suite 101
Bradenton, FL 34211
Phone
(941) 744-1585
Fax
(941) 744-1572
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8217 FL Primary
Acupuncturist 171100000X CH8217 FL

Addresses

Primary practice location

11023 Gatewood Dr
Suite 101
Bradenton, FL 34211

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
70698OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000493 FL Practitioner - Chiropractic 9537102173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hornback Chiropractic and Wellness PAGroup PAC ID 7012074784, 5 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
CH8217FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hornback Chiropractic and Wellness PA Chiropractor CurrentSince Dec 22, 2008 Accepting new patients

Locations

11023 Gatewood Dr
Bradenton, FL 34211

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

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

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1811056518",
    "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": "34211",
            "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": {
        "last_name": "HORNBACK",
        "first_name": "CYNTHIA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8217",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "CH8217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70698",
            "state": "FL"
        }
    ],
    "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 Nov 21, 2016; 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.