Individual provider Active NPI

Jack Joseph Cacic, D.C.

  • Rehabilitation Chiropractor
  • Lake Worth, FL
National Provider Identifier
1922201284
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH7724 Issued in FL
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
54015OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111104000473 FL Practitioner - Chiropractic 1557384427 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Jack Cacic and Company Inc Rehabilitation CurrentSince Sep 18, 2011 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.

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.

Verify at the official NPI Registry.