Organization Active NPI

Caleb Bunting LLC

Doing business as Serenoa Vitality and Wellness

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1265225940
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CALEB BUNTING LLC
Doing business as
Serenoa Vitality and Wellness
Practice address
2800 N 5TH St Ste 302
St Augustine, FL 32084-1837
Phone
(904) 217-6894
Fax
(904) 788-7481
NPI assigned
May 27, 2025
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Dr. Caleb Bunting, DCNPI 1871249649
Title
Chiropractor/Owner
Phone
(904) 217-6894

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Acupuncturist 171100000X NU
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

2800 N 5TH St Ste 302
St Augustine, FL 32084-1837

Mailing address

13 11TH St
St Augustine, FL 32080-3841
Phone (615) 225-7186

Other identifiers 2

IdentifierTypeStateIssuer
1235869520OtherFLNPPES
1871249649OtherFLNPPES

Other names 1

  • Serenoa Vitality and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

2800 N 5th St
Ste 302
St Augustine, FL 32084
Phone (904) 217-6894

Practitioners & affiliated clinicians

Practitioners 1

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": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1265225940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 11TH ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803841",
            "telephone_number": "615-225-7186",
            "fax_number": "904-788-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N 5TH ST STE 302",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841837",
            "telephone_number": "904-217-6894",
            "fax_number": "904-788-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEB BUNTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "BUNTING",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "904-217-6894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1235869520",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1871249649",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenoa Vitality and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenoa Vitality and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

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