Organization Active NPI

Selfcare Chiropractic Wellness & Injury LLC

  • Chiropractor
  • Greenacres, FL
National Provider Identifier
1932911682
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SELFCARE CHIROPRACTIC WELLNESS & INJURY LLC
Practice address
6079 Lake Worth Rd
Greenacres, FL 33463-4288
Phone
(561) 249-1860
Fax
(561) 249-0425
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Ericson VibertNPI 1235850751
Title
Authorized Official
Phone
(561) 249-1860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6079 Lake Worth Rd
Greenacres, FL 33463-4288

Mailing address

6079 Lake Worth Rd
Greenacres, FL 33463-4288
Phone (561) 249-1860

National Provider Directory

National Provider Directory

Locations

6079 Lake Worth Rd
Greenacres, FL 33463
Phone (556) 557-1819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1932911682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6079 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634288",
            "telephone_number": "561-249-1860",
            "fax_number": "561-249-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634288",
            "telephone_number": "561-249-1860",
            "fax_number": "561-249-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFCARE CHIROPRACTIC WELLNESS & INJURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "VIBERT",
        "authorized_official_first_name": "ERICSON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-249-1860"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.