Active NPI
Mark Edward Jeter, D.C.
- Chiropractor
- Cape Coral, FL
National Provider Identifier
1023066909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0006411
- Practice address
- 615 Cape Coral Pkwy W
Suite #105
Cape Coral, FL 33914-6593 - Phone
- (239) 549-2225
- Fax
- (239) 549-2265
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0006411 | FL | Primary |
Addresses
Primary practice location
615 Cape Coral Pkwy W
Suite #105
Cape Coral, FL 33914-6593
Mailing address
615 Cape Coral Pkwy, W
Suite #105
Cape Coral, FL 33914
Phone (239) 549-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080429000560 | FL | Practitioner - Chiropractic | 6709964992 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0006411 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023066909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CAPE CORAL PKWY, W",
"address_2": "SUITE #105",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "33914",
"telephone_number": "239-549-2225",
"fax_number": "239-549-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 CAPE CORAL PKWY W",
"address_2": "SUITE #105",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339146593",
"telephone_number": "239-549-2225",
"fax_number": "239-549-2265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETER",
"first_name": "MARK",
"middle_name": "EDWARD",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0006411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.