Organization Active NPI

Peace River Chiropractic Services LLC

  • Chiropractor
  • Punta Gorda, FL
National Provider Identifier
1275406753
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PEACE RIVER CHIROPRACTIC SERVICES LLC
Practice address
5400 Riverside Dr Lot 3370
Punta Gorda, FL 33982-1547
Phone
(941) 208-3898
Fax
(941) 429-3126
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Corey Alan Whitney, DCNPI 1760958250
Title
Chiropractic Physician
Phone
(941) 208-3898

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 1

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

Addresses

Primary practice location

5400 Riverside Dr Lot 3370
Punta Gorda, FL 33982-1547

Mailing address

5400 Riverside Dr Lot 3370
Punta Gorda, FL 33982-1547
Phone (941) 208-3898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251211000953 FL Part B Supplier - Clinic/Group Practice 1153814363 Receives reassigned benefits from 1 practitioner
Practice locations: Punta Gorda, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1275406753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 RIVERSIDE DR LOT 3370",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339821547",
            "telephone_number": "941-208-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 RIVERSIDE DR LOT 3370",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339821547",
            "telephone_number": "941-208-3898",
            "fax_number": "941-429-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE RIVER CHIROPRACTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "941-208-3898",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.