Active NPI
Bennett Chiropractic and Wellness Center, Inc.
- Chiropractor
- Bonita Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8675
- Legal business name
- BENNETT CHIROPRACTIC AND WELLNESS CENTER, INC.
- Practice address
- 3645 Bonita Beach Rd Ste 4
Bonita Springs, FL 34134-4170 - Phone
- (239) 763-1288
- Fax
- (239) 319-5123
- NPI assigned
- Dec 11, 2007
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicole Michelle Bennett, DC
- Title
- President
- Phone
- (239) 763-1288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8675 | FL | Primary |
Addresses
Primary practice location
3645 Bonita Beach Rd Ste 4
Bonita Springs, FL 34134-4170
Mailing address
3645 Bonita Beach Rd Ste 4
Bonita Springs, FL 34134-4170
Phone (239) 763-1288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381769501 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3725 Bonita Beach Rd
Bonita Springs, FL 34134
3725 Bonita Beach Rd
Ste 4
Bonita Springs, FL 34134
Phone (239) 763-1288
6875 Estero Blvd
Ste A
Fort Myers Beach, FL 33931
Phone (239) 463-1640
7130 Estero Blvd
Unit 1
Fort Myers Beach, FL 33931
Phone (239) 463-1640
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Bonita Springs, FL
- NPI 1962463752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1073796207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 BONITA BEACH RD STE 4",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344170",
"telephone_number": "239-763-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 BONITA BEACH RD STE 4",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344170",
"telephone_number": "239-763-1288",
"fax_number": "239-319-5123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENNETT CHIROPRACTIC AND WELLNESS CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-11",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-763-1288",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381769501",
"state": "FL"
}
],
"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 Sep 30, 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.