Individual provider Active NPI

Nicholas Bozicevic, DC

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1184519910
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15506 Issued in FL
Practice address
1611 Santa Barbara Blvd Ste 120
Cape Coral, FL 33991-3479
Phone
(239) 945-1717
NPI assigned
Jun 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15506 FL Primary

Addresses

Primary practice location

1611 Santa Barbara Blvd Ste 120
Cape Coral, FL 33991-3479

Mailing address

1611 Santa Barbara Blvd Ste 120
Cape Coral, FL 33991-3479
Phone (239) 945-1717

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH15506FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1184519910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SANTA BARBARA BLVD STE 120",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913479",
            "telephone_number": "239-945-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SANTA BARBARA BLVD STE 120",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913479",
            "telephone_number": "239-945-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZICEVIC",
        "first_name": "NICHOLAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.