Organization Active NPI

Ichiropractic and Wellness, Inc.

  • Chiropractor
  • Naples, FL
National Provider Identifier
1376962159
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7258 Issued in FL
Legal business name
ICHIROPRACTIC AND WELLNESS, INC.
Practice address
5500 Bryson Dr Ste 303
Naples, FL 34109-0922
Phone
(239) 596-4244
Fax
(239) 596-4244
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Mr. Marc Jason Browner, D.C.NPI 1740286137
Title
President
Phone
(954) 895-6272

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 CH7258 FL Primary

Addresses

Primary practice location

5500 Bryson Dr Ste 303
Naples, FL 34109-0922

Mailing address

5500 Bryson Dr Ste 303
Naples, FL 34109-0922
Phone (239) 596-4244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140616000557 FL Part B Supplier - Clinic/Group Practice 0446474308 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL; Weston, FL

National Provider Directory

National Provider Directory

Locations

3200 Bailey Ln
Ste 225
Naples, FL 34105
Phone (239) 300-1756

5500 Bryson Dr
Ste 303
Naples, FL 34109
Phone (239) 596-4244

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": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1376962159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BRYSON DR STE 303",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090922",
            "telephone_number": "239-596-4244",
            "fax_number": "239-596-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BRYSON DR STE 303",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090922",
            "telephone_number": "239-596-4244",
            "fax_number": "239-596-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICHIROPRACTIC AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "BROWNER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-895-6272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.