Organization Active NPI

Cape Coral Family Chiropractic Center, PL

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1689922346
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006563 Issued in FL
Legal business name
CAPE CORAL FAMILY CHIROPRACTIC CENTER, PL
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 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Dr. William R Mayer, DCNPI 1649263062
Title
Owner
Phone
(239) 574-8000

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 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120912000206 FL Part B Supplier - Clinic/Group Practice 0042117582 Receives reassigned benefits from 2 practitioners
Practice locations: Cape Coral, FL

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1689922346",
    "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": {
        "organization_name": "CAPE CORAL FAMILY CHIROPRACTIC CENTER, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-574-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006563",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 4, 2012; 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.