Organization Active NPI

Preserve Chiropractic & Wellness, LLC

Doing business as 100 Percent Chiropractic Odessa

  • Chiropractor
  • Odessa, FL
National Provider Identifier
1174148050
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRESERVE CHIROPRACTIC & WELLNESS, LLC
Doing business as
100 Percent Chiropractic Odessa
Practice address
15989 Preserve Marketplace Blvd
Odessa, FL 33556-5509
Phone
(609) 304-8117
NPI assigned
Jun 16, 2020
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Ronald Martin, DCNPI 1356642102
Title
Owner
Phone
(609) 304-8117

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 NU Primary

Addresses

Primary practice location

15989 Preserve Marketplace Blvd
Odessa, FL 33556-5509

Mailing address

3240 Clover Blossom Cir
Land O Lakes, FL 34638-7990

Other practice location 1

15993 Preserve Marketplace Blvd
Odessa, FL 33556-5509
Phone (609) 304-8117

Other names 1

  • 100 Percent Chiropractic Odessa Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200903001583 FL Part B Supplier - Clinic/Group Practice 1254758311 Receives reassigned benefits from 1 practitioner
Practice locations: Odessa, FL

National Provider Directory

National Provider Directory

Locations

15989 Preserve Marketplace Blvd
Odessa, FL 33556
Phone (352) 593-0047

15993 Preserve Marketplace Blvd
Odessa, FL 33556
Phone (609) 304-8117

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": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1174148050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 CLOVER BLOSSOM CIR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15989 PRESERVE MARKETPLACE BLVD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565509",
            "telephone_number": "609-304-8117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15993 Preserve Marketplace Blvd",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "335565509",
            "country_code": "US",
            "telephone_number": "609-304-8117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESERVE CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-304-8117",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "100 Percent Chiropractic Odessa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "100 Percent Chiropractic Odessa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.