Organization Active NPI

Buchanan Chiropractic & Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1417212366
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
CH9348 Issued in FL
Legal business name
BUCHANAN CHIROPRACTIC & REHABILITATION, LLC
Practice address
8140 College Pkwy
Fort Myers, FL 33919-5188
Phone
(239) 362-3164
Fax
(239) 791-8632
NPI assigned
Jul 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Authorized official

Name
Dr. Robert Darrell Buchanan, DC
Title
Owner/Doctor
Phone
(239) 362-3164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X CH9348 FL Primary

Addresses

Primary practice location

8140 College Pkwy
Fort Myers, FL 33919-5188

Mailing address

8140 College Pkwy
Fort Myers, FL 33919-5188
Phone (239) 362-3164

National Provider Directory

National Provider Directory
Tax ID family
Buchanan Chiropractic Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8140 College Pkwy
Fort Myers, FL 33919
Phone (239) 481-3377

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1417212366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 COLLEGE PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195188",
            "telephone_number": "239-362-3164",
            "fax_number": "239-791-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 COLLEGE PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195188",
            "telephone_number": "239-362-3164",
            "fax_number": "239-791-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCHANAN CHIROPRACTIC & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "239-362-3164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "CH9348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.