Organization Active NPI

Chiropractic Express Inc

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1205822020
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7784 Issued in FL
Legal business name
CHIROPRACTIC EXPRESS INC
Practice address
1526 SE 16TH PL Ste B
#B
Cape Coral, FL 33990-3831
Phone
(239) 458-8800
Fax
(239) 458-5291
NPI assigned
Sep 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Ms. Deborah Lynn Jansen
Title
President
Phone
(239) 458-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7784 FL Primary

Addresses

Primary practice location

1526 SE 16TH PL Ste B
#B
Cape Coral, FL 33990-3831

Mailing address

1526 SE 16TH PL Ste B
#B
Cape Coral, FL 33990-3831
Phone (239) 458-8800

Other identifiers 1

IdentifierTypeStateIssuer
70097OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1939 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 458-8800

1526 SE 16th Pl
Ste B
Cape Coral, FL 33990
Phone (239) 458-8800

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1205822020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 SE 16TH PL STE B",
            "address_2": "#B",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903831",
            "telephone_number": "239-458-8800",
            "fax_number": "239-458-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 SE 16TH PL STE B",
            "address_2": "#B",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903831",
            "telephone_number": "239-458-8800",
            "fax_number": "239-458-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC EXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-458-8800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70097",
            "state": "FL"
        }
    ],
    "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 May 7, 2008; 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.