Vanderbilt Chiropractic Clinic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8291 Issued in FL

Legal business name

VANDERBILT CHIROPRACTIC CLINIC, PA

Practice address

4530 Tamiami TRL N Ste 2
Naples, FL 34103-3011

Phone

(239) 596-8800

Fax

(239) 591-0737

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Gerard Dishauzi, D.C.NPI 1730124207

Title

President

Phone

(239) 596-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Dishauzi, D.C.

  • Chiropractor
  • Naples, FL
  • NPI 1730124207
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1780886408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 TAMIAMI TRL N STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033011",
            "telephone_number": "239-596-8800",
            "fax_number": "239-591-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 TAMIAMI TRL N STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033011",
            "telephone_number": "239-596-8800",
            "fax_number": "239-591-0737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Vanderbilt Beach Rd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341092654",
            "country_code": "US",
            "telephone_number": "239-596-8800",
            "fax_number": "239-591-0737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANDERBILT CHIROPRACTIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "DISHAUZI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-596-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy J Vance, MD
• Tonny Vandehee, PT
• Amy Vanderaar
• Vanderbilt Beach Assisted Living Facility,LLC
• Vanderbilt Beach Assisted Living Home, LLC
• Vanderbilt Optical
• Allayna Marie Vanderheid, PA-C
• Jennifer Lynn Vanderheid
• Zoe Lynn Vanderheid, PA
• Kimberly Vanderklok, OTR/L

• Chiropractor in Naples, FL
• Providers in Naples, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.