Individual provider Active NPI

Crist Luis Francisco, D.C.

  • Chiropractor
  • Port Orange, FL
National Provider Identifier
1821461229
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11703 Issued in FL
Practice address
4705 Clyde Morris Blvd
Port Orange, FL 32129-4103
Phone
(386) 763-2718
NPI assigned
Nov 6, 2015
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009604 GA
Chiropractor 111N00000X CH11703 FL Primary

Addresses

Primary practice location

4705 Clyde Morris Blvd
Port Orange, FL 32129-4103

Mailing address

178 Reena Dr
Daytona Beach, FL 32117-0009
Phone (386) 631-5627

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420000870 FL Practitioner - Chiropractic 0345548624 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmer College FoundationGroup PAC ID 1557266863, 44 clinicians

Practice addresses (Care Compare)

4705 Clyde Morris Blvd
Port Orange, FL 32129-4103
Phone (386) 763-2718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009604GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Integrative Healthcare Inc Chiropractor CurrentSince Jan 20, 2016 Accepting new patients
Palmer College Foundation Chiropractor CurrentSince Jul 19, 2024 Accepting new patients
Service for Life Inc Chiropractor CurrentSince Aug 26, 2025 Accepting new patients
Coastal Integrative Healthcare Inc CurrentSince Jan 20, 2016 Accepting new patients
Palmer College Foundation Chiropractor CurrentSince Jul 19, 2024 Accepting new patients
Edgewater Chiropractic Clinic, P.a. Chiropractor CurrentSince Sep 1, 2021 Accepting new patients
Viva Health Centers of BB, Inc. Chiropractor Past Accepting new patients

Locations

311 N Clyde Morris Blvd
Ste 310
Daytona Beach, FL 32114
Phone (386) 257-6644

201 S Ridgewood Ave
Ste 11
Edgewater, FL 32132
Phone (386) 423-7575

315 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 427-8403

720 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 259-0402

720 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 385-8807

4705 Clyde Morris Blvd
Pt Orange, FL 32129
Phone (386) 763-2712

1000 Brady St
Davenport, IA 52803
Phone (563) 884-5800

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1821461229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 REENA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321170009",
            "telephone_number": "386-631-5627",
            "fax_number": "386-888-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 CLYDE MORRIS BLVD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294103",
            "telephone_number": "386-763-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCISCO",
        "first_name": "CRIST",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009604",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.