Organization Active NPI

American Spine and Health Institute Corporation

Doing business as Living Well Chiropractic

  • Chiropractor
  • Estero, FL
National Provider Identifier
1124914809
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AMERICAN SPINE AND HEALTH INSTITUTE CORPORATION
Doing business as
Living Well Chiropractic
Practice address
10020 Coconut Rd Ste 134B
Estero, FL 34135-8136
Phone
(239) 498-2225
NPI assigned
Jun 17, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Timothy Sopp, DCNPI 1740576594
Title
Owner
Phone
(239) 498-2225

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

10020 Coconut Rd Ste 134B
Estero, FL 34135-8136

Mailing address

10020 Coconut Rd Ste 134B
Estero, FL 34135-8136

Other names 1

  • Living Well Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250813002717 FL Part B Supplier - Clinic/Group Practice 0446758841 Receives reassigned benefits from 1 practitioner
Practice locations: Estero, FL

National Provider Directory

National Provider Directory

Locations

10020 Coconut Rd
Ste 134
Estero, FL 34135
Phone (239) 498-2225

10020 Coconut Rd
Ste 134B
Estero, FL 34135
Phone (239) 498-2225

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1124914809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 COCONUT RD STE 134B",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "341358136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 COCONUT RD STE 134B",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "341358136",
            "telephone_number": "239-498-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SPINE AND HEALTH INSTITUTE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "SOPP",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-498-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.