Organization Active NPI

Warner Chiropractic LLC

  • Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1629233838
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6249 Issued in FL
Legal business name
WARNER CHIROPRACTIC LLC
Practice address
5240 Bank St Ste 1
Fort Myers, FL 33907-2110
Phone
(239) 489-2225
Fax
(239) 489-0046
NPI assigned
Jul 28, 2008
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Dr. Todd Johnson, DCNPI 1053309468
Title
President
Phone
(239) 489-2225

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
Clinic/Center 261Q00000X 6249 FL Primary

Addresses

Primary practice location

5240 Bank St Ste 1
Fort Myers, FL 33907-2110

Mailing address

5240 Bank St Ste 1
Fort Myers, FL 33907-2110
Phone (239) 489-2225

Other identifiers 1

IdentifierTypeStateIssuer
380099700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081112000163 FL Part B Supplier - Clinic/Group Practice 3274570551 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

5240 Bank St
Ste 1
Fort Myers, FL 33907
Phone (239) 489-2225

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1629233838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 BANK ST STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072110",
            "telephone_number": "239-489-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 BANK ST STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072110",
            "telephone_number": "239-489-2225",
            "fax_number": "239-489-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARNER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-489-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "6249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380099700",
            "state": "FL"
        }
    ],
    "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 Jun 10, 2025; 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.