Individual provider Active NPI

Jason B Kaster, DC

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1003895079
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8759 Issued in FL
Practice address
1791 Boy Scout Dr Ste 6
Fort Myers, FL 33907-2137
Phone
(239) 332-2555
Fax
(239) 332-2556
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8759 FL Primary

Addresses

Primary practice location

1791 Boy Scout Dr Ste 6
Fort Myers, FL 33907-2137

Mailing address

1791 Boy Scout Dr Ste 6
Fort Myers, FL 33907-2137
Phone (239) 821-0417

Other identifiers 2

IdentifierTypeStateIssuer
11-3716390OtherTAX ID STATE OF FLORIDA
CH8759OtherFLLIC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602001451 FL Practitioner - Chiropractic 9133101215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1791 Boy Scout Dr
Suite 6
Fort Myers, FL 33907-2137
Phone (239) 532-2555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8759FLMDChiropractor
3065OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaster Inc Chiropractor CurrentSince Sep 7, 2007 Accepting new patients
Dr. Brooke Iwanski DC LLC Chiropractor CurrentSince Jun 18, 2023 Accepting new patients
Victor J Drobnic D.C. P.a. Chiropractor Past Accepting new patients

Locations

1791 Boy Scout Dr
Ste 6
Fort Myers, FL 33907
Phone (239) 332-2555

1646 Colonial Blvd
Ste 1
Fort Myers, FL 33907
Phone (239) 936-2911

Organizations & group practices 3

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1003895079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 BOY SCOUT DR STE 6",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072137",
            "telephone_number": "239-821-0417",
            "fax_number": "239-936-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 BOY SCOUT DR STE 6",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072137",
            "telephone_number": "239-332-2555",
            "fax_number": "239-332-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTER",
        "first_name": "JASON",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID STATE OF FLORIDA",
            "identifier": "11-3716390",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "CH8759",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.