San Carlos Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0004195 Issued in FL

Legal business name

SAN CARLOS CHIROPRACTIC INC

Practice address

19150 Acorn Road
Suite 103
Fort Myers, FL 33967-3657

Phone

(239) 267-3133

Fax

(239) 267-8032

NPI assigned

Aug 17, 2006

Last updated

Apr 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glen Schaffer, DCNPI 1639167752

Title

Chiropractor

Phone

(239) 267-3133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: glen@scci0005.direct.chirotouch.md

Practitioners 3

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.

• Glen Schaffer, DC

  • Chiropractor
  • Fort Myers, FL
  • NPI 1639167752
  Medicare reassignment Authorized official
• Ryan Parrish, D.C.

  • Chiropractor
  • Oxford, AL
  • NPI 1922422823

  FL

  Medicare reassignment NPD
• Earl Darrell Gallow Jr., CPT

  • Health & Wellness Coach
  • Fort Myers, FL
  • NPI 1235959172
  NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1447363882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19150 ACORN ROAD",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339673657",
            "telephone_number": "239-267-3133",
            "fax_number": "239-267-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19150 ACORN ROAD",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339673657",
            "telephone_number": "239-267-3133",
            "fax_number": "239-267-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN CARLOS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "239-267-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billy D Sams II, D.D.S.
• Gregory Samson, M.D.
• Karen Samuda, LCSW
• Aneeta P Samuel, M. D.
• Joe Samuel
• San Carlos Family Dental
• Gabriel Angel San Miguel, RN
• Sanchez and Rockman Eye Associates LLC
• Juan David Sanchez Cano
• Indira M Sanchez Concepcion

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.