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LIGHTHOUSE CHIROPRACTIC LLC
NPI 1730629528
Chiropractor in Ponte Vedra, FL

Active since February 28, 2017
145 HILDEN RD, SUITE 123, PONTE VEDRA, FL 32081(904) 395-5371 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Jul 10, 2026, Feb 28, 2017 (3 updates tracked since 2017).

About Lighthouse Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE CHIROPRACTIC LLC (NPI 1730629528) is a healthcare organization registered as a chiropractor in Ponte Vedra, Florida and active in the NPI registry since February 2017. The organization lists Mayredlis Cruz, Owner/dc, as its authorized official.

NPPES Registry Identity

NPI1730629528
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIGHTHOUSE CHIROPRACTIC LLC
Location Address145 HILDEN RD, SUITE 123Ponte Vedra, FL 32081-8401
Mailing Address145 Hilden Rd, Suite 123Ponte Vedra, FL 32081-8401
Phone(904) 395-5371
Organization SubpartNo
Authorized OfficialMayredlis CruzOwner/dc · (904) 342-8970
Enumeration DateFebruary 28, 2017
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1730629528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
145 HILDEN RD, Ponte Vedra, FL 32081
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lighthouse Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lighthouse Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mayredlis Cruz Martir, DC
Chiropractic
NPI 1245779818
148 SPLIT OAK RD
St Augustine, FL 32092
(254) 220-1078
✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Chiropractic LLC's NPI number?

The NPI number for Lighthouse Chiropractic LLC is 1730629528. It was assigned to this organization in the NPPES registry on February 28, 2017.

Where is Lighthouse Chiropractic LLC located?

Lighthouse Chiropractic LLC is located at 145 Hilden Rd Suite 123, Ponte Vedra, FL 32081. The listed phone number is (904) 395-5371.

What is Lighthouse Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lighthouse Chiropractic LLC enrolled in Medicare?

Yes. Lighthouse Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lighthouse Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lighthouse Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lighthouse Chiropractic LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lighthouse Chiropractic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lighthouse Chiropractic LLC was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.