Collier Chiropractic and Accident Rehabilitation Center Inc

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH0006936 Issued in FL

Legal business name

COLLIER CHIROPRACTIC AND ACCIDENT REHABILITATION CENTER INC

Practice address

2180 Immokalee Rd
Suite 201
Naples, FL 34110-1421

Phone

(239) 594-8995

Fax

(239) 594-9976

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Mair, DCNPI 1275505620

Title

Chiropractic Physician

Phone

(239) 594-8995

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Bradley Frick, DC

  • Chiropractor
  • Naples, FL
  • NPI 1225452741
  Medicare reassignment Care Compare group NPD
• Richard Mair, D.C.

  • Chiropractor
  • Naples, FL
  • NPI 1275505620
  Medicare reassignment NPD Authorized official
• Kayla Janelle Smith, DC

  • Chiropractor
  • Bonita Springs, FL
  • NPI 1003527052
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1174741581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 IMMOKALEE RD",
            "address_2": "SUITE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101421",
            "telephone_number": "239-594-8995",
            "fax_number": "239-594-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 IMMOKALEE RD",
            "address_2": "SUITE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101421",
            "telephone_number": "239-594-8995",
            "fax_number": "239-594-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER CHIROPRACTIC AND ACCIDENT REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "MAIR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "239-594-8995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH0006936",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH0008293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55472",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collier Boulevard Hma Physician Management LLC (Physicians Regional - Collier Blvd)
• Collier Boulevard Hma Physician Management LLC (Physicians Regional Medical Group-Collier)
• Collier Boulevard Hma Physician Management LLC (Physicians Regional Medical Group-Collier)
• Collier Boulevard Hma Physician Management LLC (Physicians Regional Medical Group)
• Collier Boulevard Hma Physician Management LLC (Physicians Regional Medical Group-Collier)
• Collier Chiropractic Care
• Collier Concierge Physical Therapy and Performance PLLC
• Collier County Board of County Commissioners (Collier County EMS)
• Collier County Child Advocacy Council, Inc. (Children's Advocacy Center)
• Collier County Florida Radiologists P.a.

• Rehabilitation Chiropractor in Naples, FL
• Providers in Naples, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.