Individual provider Active NPI

Kevin M Wells, D.C.

  • Chiropractor
  • Port Charlotte, FL
National Provider Identifier
1104874007
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9064 Issued in FL
Practice address
795 Crestview Cir NW
Port Charlotte, FL 33948-2126
Phone
(941) 929-8444
Fax
(941) 629-9513
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 CH9064 FL Primary

Addresses

Primary practice location

795 Crestview Cir NW
Port Charlotte, FL 33948-2126

Mailing address

795 Crestview Cir NW
Port Charlotte, FL 33948-2126
Phone (941) 929-8444

Other identifiers 1

IdentifierTypeStateIssuer
CH9064OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9064FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Chiropractic Chiropractor PastSince Jan 1, 1990 Accepting new patients
Thauberger Chiropractic PSC. Chiropractor Past 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 and National Provider Directory roles.

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": "1104874007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 CRESTVIEW CIR NW",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482126",
            "telephone_number": "941-929-8444",
            "fax_number": "941-629-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 CRESTVIEW CIR NW",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482126",
            "telephone_number": "941-929-8444",
            "fax_number": "941-629-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KEVIN",
        "middle_name": "M",
        "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": "CH9064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CH9064",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.