Active NPI
Jack Joseph Cacic, D.C.
- Rehabilitation Chiropractor
- Lake Worth, FL
National Provider Identifier
1922201284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH7724
- Practice address
- 17 N H St
Lake Worth, FL 33460-3701 - Phone
- (561) 547-2210
- Fax
- (561) 547-6689
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH7724 | FL | Primary |
| Sports Physician Chiropractor | 111NS0005X | CH7724 | FL |
Addresses
Primary practice location
17 N H St
Lake Worth, FL 33460-3701
Mailing address
17 N H St
Lake Worth, FL 33460-3701
Phone (561) 547-2210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54015 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Canadian Memorial Chiropractic College, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17 N H St
Lake Worth, FL 33460-3701
Phone (561) 547-2210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jack Cacic and Company Inc | Rehabilitation | Current | Accepting new patients |
Locations
37 Church St
Ste 200
Waynesville, NC 28786
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.
-
- Sports Physician Chiropractor
- Lake Worth, FL
- NPI 1912102021
Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1922201284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 N H ST",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603701",
"telephone_number": "561-547-2210",
"fax_number": "561-547-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 N H ST",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603701",
"telephone_number": "561-547-2210",
"fax_number": "561-547-6689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACIC",
"first_name": "JACK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH7724",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "CH7724",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "54015",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.