Organization Active NPI

Humble Chiropractic Inc

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1487931424
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HUMBLE CHIROPRACTIC INC
Practice address
8695 College Pkwy Ste 1270
Fort Myers, FL 33919-5826
Phone
(239) 214-8578
Fax
(888) 409-0210
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Jeffery HumbleNPI 1699932848
Title
President
Phone
(239) 214-8578

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

8695 College Pkwy Ste 1270
Fort Myers, FL 33919-5826

Mailing address

PO Box 152016
Cape Coral, FL 33915-2016
Phone (239) 214-8578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150414001503 FL Part B Supplier - Clinic/Group Practice 2860710308 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

8695 College Pkwy
Ste 1041
Fort Myers, FL 33919
Phone (239) 214-8578

8695 College Pkwy
Ste 1270
Fort Myers, FL 33919
Phone (239) 214-8578

6360 Presidential Ct
Ste 4
Fort Myers, FL 33919
Phone (239) 437-1155

Practitioners & affiliated clinicians

Practitioners 2

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": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1487931424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152016",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339152016",
            "telephone_number": "239-214-8578",
            "fax_number": "888-409-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8695 COLLEGE PKWY STE 1270",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195826",
            "telephone_number": "239-214-8578",
            "fax_number": "888-409-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "HUMBLE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-214-8578"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Nov 4, 2011; 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.