Individual provider Active NPI

William Robert Mayer, DC

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1649263062
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006563 Issued in FL
Practice address
210 Del Prado Blvd S
Suite 3
Cape Coral, FL 33990-1763
Phone
(239) 574-8000
Fax
(239) 574-1004
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0006563 FL Primary

Addresses

Primary practice location

210 Del Prado Blvd S
Suite 3
Cape Coral, FL 33990-1763

Mailing address

210 Del Prado Blvd S
Suite 3
Cape Coral, FL 33990-1763
Phone (239) 574-8000

Other identifiers 3

IdentifierTypeStateIssuer
C056988OtherNYNY/WC
350055843OtherFLMEDICARE RAILROAD
22840OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031215000166 FL Practitioner - Chiropractic 5294632725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Coral Family Chiropractic Center, PLGroup PAC ID 0042117582, 2 clinicians

Practice addresses (Care Compare)

210 Del Prado Blvd
Suite 3
Cape Coral, FL 33990-1763

210 Del Prado Blvd S
Suite 3
Cape Coral, FL 33990-1763
Phone (239) 574-8000

210 Del Prado S Blvd
Suite 3
Cape Coral, FL 33990-1763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1649263062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 DEL PRADO BLVD S",
            "address_2": "SUITE 3",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901763",
            "telephone_number": "239-574-8000",
            "fax_number": "239-574-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 DEL PRADO BLVD S",
            "address_2": "SUITE 3",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901763",
            "telephone_number": "239-574-8000",
            "fax_number": "239-574-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY/WC",
            "identifier": "C056988",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "350055843",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22840",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.