Individual provider Active NPI

David Allan Kubicek, D.C.

  • Chiropractor
  • Naples, FL
National Provider Identifier
1184068744
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10729 Issued in FL
Practice address
13240 Tamiami TRL N
204
Naples, FL 34110-1623
Phone
(239) 592-7767
Fax
(239) 593-5908
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10729 FL Primary

Addresses

Primary practice location

13240 Tamiami TRL N
204
Naples, FL 34110-1623

Mailing address

13240 Tamiami TRL N
204
Naples, FL 34110-1623
Phone (239) 592-7767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130621000494 FL Practitioner - Chiropractic 7113166232 Reassigns benefits to 1 organization
Practice locations: Bonita Springs, FL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alternative Health and Healing Center P aGroup PAC ID 3375673973, 2 clinicians

Practice addresses (Care Compare)

13240 Tamiami Trail N
Suite 204
Naples, FL 34110-1626
Phone (239) 592-7767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10729FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Health & Healing Center P a Chiropractor Current Accepting new patients

Locations

13240 Tamiami Trl N
Ste 204
Naples, FL 34110
Phone (239) 349-2500

Organizations & group practices 1

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1184068744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13240 TAMIAMI TRL N",
            "address_2": "204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101623",
            "telephone_number": "239-592-7767",
            "fax_number": "239-593-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13240 TAMIAMI TRL N",
            "address_2": "204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101623",
            "telephone_number": "239-592-7767",
            "fax_number": "239-593-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICEK",
        "first_name": "DAVID",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.