Active NPI
Kevin Myrmo, D.C.
- Chiropractor
- Naples, FL
National Provider Identifier
1649314063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH4035
- Practice address
- 4951 Tamiami TRL N
Naples, FL 34103-3067 - Phone
- (239) 263-7710
- Fax
- (239) 263-3291
- NPI assigned
- Feb 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH4035 | FL | Primary |
Addresses
Primary practice location
4951 Tamiami TRL N
Naples, FL 34103-3067
Mailing address
4951 Tamiami TRL N
Naples, FL 34103-3067
Phone (239) 263-7710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111212000787 | FL | Practitioner - Chiropractic | 4587839089 | Practice locations: Naples, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4951 Tamiami Trail N
Unit 110
Naples, FL 34103-3067
Phone (239) 263-7710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH4035 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649314063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 TAMIAMI TRL N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341033067",
"telephone_number": "239-263-7710",
"fax_number": "239-263-3291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 TAMIAMI TRL N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341033067",
"telephone_number": "239-263-7710",
"fax_number": "239-263-3291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRMO",
"first_name": "KEVIN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH4035",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; 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.