Individual provider Active NPI

Patrick King, DC

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1306945894
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010765 Issued in IL
Practice address
1260 NE 8TH St Ste 110
Cape Coral, FL 33909-3169
Phone
(239) 573-7988
NPI assigned
Sep 21, 2006
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010765 IL Primary

Addresses

Primary practice location

1260 NE 8TH St Ste 110
Cape Coral, FL 33909-3169

Mailing address

1260 NE 8TH St Ste 110
Cape Coral, FL 33909-3169
Phone (239) 573-7988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130314000147 FL Practitioner - Chiropractic 4183791643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Medical Solutions LLCGroup PAC ID 9335430107, 2 clinicians

Practice addresses (Care Compare)

1260 NE 8TH St
Suite 110
Cape Coral, FL 33909-3169
Phone (239) 443-4716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010765ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
PTG Medical LLC CurrentSince Jun 14, 2022 Accepting new patients
Cape Coral Injury Clinic LLC Chiropractor CurrentSince Nov 3, 2024 Accepting new patients
Physician Medical Solutions, LLC Chiropractor CurrentSince Oct 26, 2015 Accepting new patients
Shipman Chiropractic PC Chiropractor PastSince May 10, 2020 Accepting new patients
Shipman Chiropractic Chiropractor PastSince May 10, 2020 Accepting new patients
Al Peoria, LLC Chiropractor Past Accepting new patients
Health Solutions Integrated Medi Care, PLLC PastSince Oct 27, 2024 Accepting new patients

Locations

1260 NE 8th St
Ste 110
Cape Coral, FL 33909
Phone (239) 443-4716

428 Del Prado Blvd N
Ste 108
Cape Coral, FL 33909
Phone (239) 573-7988

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1306945894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 NE 8TH ST STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339093169",
            "telephone_number": "239-573-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 NE 8TH ST STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339093169",
            "telephone_number": "239-573-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010765",
            "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 Dec 27, 2023; 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.