Individual provider Active NPI

Clifton Wade Cox, D.C.

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1962802652
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11253 Issued in FL
Practice address
1430 SW Saint Lucie West Blvd Ste 103
Port St Lucie, FL 34986-2134
Phone
(772) 878-3240
Fax
(772) 905-8588
NPI assigned
Aug 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11253 FL Primary

Addresses

Primary practice location

1430 SW Saint Lucie West Blvd Ste 103
Port St Lucie, FL 34986-2134

Mailing address

207 NW Saint James Dr
Port St Lucie, FL 34983-1291
Phone (772) 878-3240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823001245 FL Practitioner - Chiropractic 1557656030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1430 SW Saint Lucie W Blvd
Suite 103
Port Saint Lucie, FL 34986-2134
Phone (772) 398-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cox Chiropractic Care Chiropractor CurrentSince Jun 1, 2017 Accepting new patients

Locations

1430 SW Saint Lucie West Blvd
Ste 103
Port St Lucie, FL 34986
Phone (772) 398-5400

207 NW Saint James Dr
Port St Lucie, FL 34983
Phone (772) 398-5400

1430 SW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 344-2229

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, 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": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1962802652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 NW SAINT JAMES DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831291",
            "telephone_number": "772-878-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 SW SAINT LUCIE WEST BLVD STE 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862134",
            "telephone_number": "772-878-3240",
            "fax_number": "772-905-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "CLIFTON",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.