Active NPI
Jeffery John Humble, D.C.
- Chiropractor
- Fort Myers, FL
National Provider Identifier
1699932848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9359
- Practice address
- 1400 Colonial Blvd
Suite 31
Fort Myers, FL 33907-1055 - Phone
- (239) 989-7741
- NPI assigned
- May 16, 2008
- 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 | CH9359 | FL | Primary |
Addresses
Primary practice location
1400 Colonial Blvd
Suite 31
Fort Myers, FL 33907-1055
Mailing address
1400 Colonial Blvd
Suite 31
Fort Myers, FL 33907-1055
Phone (239) 989-7741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88289 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6360 Presidential CT
Suite 4
Fort Myers, FL 33919-3501
Phone (239) 214-8578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9359 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humble Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| James Todd Williams DC PA | Chiropractor | Past | Accepting new patients |
| Southwest Spine and Sport, Inc. | Chiropractor | Past | Accepting new patients |
Locations
6360 Presidential Ct
Ste 4
Fort Myers, FL 33919
Phone (239) 437-1155
8695 College Pkwy
Ste 1041
Fort Myers, FL 33919
Phone (239) 214-8578
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
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- NPI 1487931424
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- Chiropractor
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- NPI 1578725545
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- Chiropractor
- Cape Coral, FL
- NPI 1316153661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1699932848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 COLONIAL BLVD",
"address_2": "SUITE 31",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071055",
"telephone_number": "239-989-7741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 COLONIAL BLVD",
"address_2": "SUITE 31",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071055",
"telephone_number": "239-989-7741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMBLE",
"first_name": "JEFFERY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88289",
"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 Feb 11, 2010; 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.