Individual provider Active NPI

Nicholas Benvenuti

  • Chiropractor
  • Bonita Springs, FL
National Provider Identifier
1033051727
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15851 Issued in FL
Practice address
12950 Trade Way Four Unit 106
Bonita Springs, FL 34135-6987
Phone
(239) 301-0711
NPI assigned
Apr 9, 2026
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15851 FL Primary

Addresses

Primary practice location

12950 Trade Way Four Unit 106
Bonita Springs, FL 34135-6987

Mailing address

12950 Trade Way Four Unit 106
Bonita Springs, FL 34135-6987
Phone (239) 301-0711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260509000121 FL Practitioner - Chiropractic 7517435340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

28030 Crest Preserve Cir
Unit 1310
Bonita Springs, FL 34135-6621

28030 Crest Preserve Cir
Unit 1310
Bonita Springs, FL 34135-6641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15851FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Corrective Spinal Care of Florida 3, P.a. Chiropractor Current Accepting new patients

Organizations & group practices 2

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": "1775692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1033051727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12950 TRADE WAY FOUR UNIT 106",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356987",
            "telephone_number": "239-301-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 TRADE WAY FOUR UNIT 106",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356987",
            "telephone_number": "239-301-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENVENUTI",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.