Organization Active NPI

Cheyne Family Chiropractic Centre

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1942443049
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7337 Issued in FL
Legal business name
CHEYNE FAMILY CHIROPRACTIC CENTRE
Practice address
5050 S 25TH St
Fort Pierce, FL 34981-4923
Phone
(772) 468-8891
Fax
(772) 468-7929
NPI assigned
Apr 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Nicole Kelly Cheyne, D.C.NPI 1114004314
Title
President
Phone
(772) 468-8891

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 CH7337 FL Primary

Addresses

Primary practice location

5050 S 25TH St
Fort Pierce, FL 34981-4923

Mailing address

5050 S 25TH St
Fort Pierce, FL 34981-4923
Phone (772) 468-8891

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000407 FL Part B Supplier - Clinic/Group Practice 5193986149 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Pierce, FL

National Provider Directory

National Provider Directory

Locations

5050 S 25th St
Fort Pierce, FL 34981
Phone (772) 468-8891

Practitioners & affiliated clinicians

Practitioners 4

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": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1942443049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814923",
            "telephone_number": "772-468-8891",
            "fax_number": "772-468-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814923",
            "telephone_number": "772-468-8891",
            "fax_number": "772-468-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYNE FAMILY CHIROPRACTIC CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "CHEYNE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-468-8891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.