Individual provider Active NPI

Ronald M Repice II, D.C.

  • Neurology Chiropractor
  • Naples, FL
National Provider Identifier
1609873157
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH8620 Issued in FL
Practice address
1715 Heritage TRL
Ste 203
Naples, FL 34112-8715
Phone
(239) 530-3040
Fax
(239) 530-3050
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CH8620 FL Primary

Addresses

Primary practice location

1715 Heritage TRL
Ste 203
Naples, FL 34112-8715

Mailing address

1715 Heritage TRL
Ste 203
Naples, FL 34112-8715
Phone (239) 530-3040

Other identifiers 2

IdentifierTypeStateIssuer
K8856OtherFLMEDICARE GROUP NUMBER
89613BOtherFLMEDICARE ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1609873157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 HERITAGE TRL",
            "address_2": "STE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341128715",
            "telephone_number": "239-530-3040",
            "fax_number": "239-530-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 HERITAGE TRL",
            "address_2": "STE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341128715",
            "telephone_number": "239-530-3040",
            "fax_number": "239-530-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPICE",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH8620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K8856",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "89613B",
            "state": "FL"
        }
    ],
    "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 May 9, 2008; 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.