Individual provider Active NPI

Guillermo Enrique Columbie II, DC

  • Chiropractor
  • Rockledge, FL
National Provider Identifier
1710620042
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14006 Issued in FL
Practice address
835 Executive LN Ste 110
Rockledge, FL 32955-8068
Phone
(305) 321-4509
NPI assigned
Apr 14, 2022
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14006 FL Primary

Addresses

Primary practice location

835 Executive LN Ste 110
Rockledge, FL 32955-8068

Mailing address

835 Executive LN Ste 110
Rockledge, FL 32955-8068
Phone (305) 321-4509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2342 Willet PL
Apt 4320
Melbourne, FL 32940-3626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14006FLMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Iconico Chiropractic Inc Chiropractor Current Accepting new patients

Locations

835 Executive Ln
Ste 110
Rockledge, FL 32955
Phone (321) 638-2075

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1710620042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 EXECUTIVE LN STE 110",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558068",
            "telephone_number": "305-321-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 EXECUTIVE LN STE 110",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558068",
            "telephone_number": "305-321-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUMBIE",
        "first_name": "GUILLERMO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-14",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.