Organization Active NPI

David Austin Cale Elkin LLC

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1104565092
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DAVID AUSTIN CALE ELKIN LLC
Practice address
11621 S Cleveland Ave Ste 80
Fort Myers, FL 33907-2866
Phone
(519) 717-4510
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Dr. David Austin Cale Elkin, DCNPI 1639817802
Title
Ao/Provider/Owner
Phone
(239) 710-6653

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11621 S Cleveland Ave Ste 80
Fort Myers, FL 33907-2866

Mailing address

11621 S Cleveland Ave Ste 80
Fort Myers, FL 33907-2866
Phone (519) 717-4510

Other names 1

  • City of Palms Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220808000208 FL Part B Supplier - Clinic/Group Practice 5193107118 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

11621 S Cleveland Ave
Ste 80
Fort Myers, FL 33907
Phone (239) 690-7794

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1104565092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 S CLEVELAND AVE STE 80",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072866",
            "telephone_number": "519-717-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 S CLEVELAND AVE STE 80",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072866",
            "telephone_number": "519-717-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID AUSTIN CALE ELKIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "ELKIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "AUSTIN CALE",
        "authorized_official_title_or_position": "AO/PROVIDER/OWNER",
        "authorized_official_telephone_number": "239-710-6653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Palms Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Palms Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 9, 2022; 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.

Verify at the official NPI Registry.