Bayshore Drive Chiropractic Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

HCC7141 Issued in FL

Legal business name

BAYSHORE DRIVE CHIROPRACTIC INC

Practice address

4000 Bayshore Dr
Suite a
Naples, FL 34112-6503

Phone

(239) 417-0010

Fax

(239) 417-0063

NPI assigned

Jun 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Daniel

Title

President

Phone

(239) 417-0010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750587903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BAYSHORE DR",
            "address_2": "SUITE A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126503",
            "telephone_number": "239-417-0010",
            "fax_number": "239-417-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BAYSHORE DR",
            "address_2": "SUITE A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126503",
            "telephone_number": "239-417-0010",
            "fax_number": "239-417-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE DRIVE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-417-0010"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC7141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayonne Physical Therapy Inc (North Trail Physical Therapy)
• Bayonne Physical Therapy Inc (Estates Physical Therapy)
• Bayonne Physical Therapy Inc (East Naples Physical Therapy)
• Courtney Bayruns, MD
• Bayshore Chiropractic PA
• Bayshore Memory Care
• Ervanlie Bazile, OTD
• BBHF LLC
• Beacon Health LLC
• Kristin C. Beal, PA-C

• Health Service Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.