Organization Active NPI

Pelletiere Family Chiropractic PA

  • Chiropractor
  • Bonita Springs, FL
National Provider Identifier
1831692904
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7472 Issued in FL
Legal business name
PELLETIERE FAMILY CHIROPRACTIC PA
Practice address
3411 Bonita Beach Rd Ste 302
Bonita Springs, FL 34134-4155
Phone
(239) 949-1222
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Dr. Michele Pelletiere, DC
Title
Owner/President
Phone
(239) 949-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7472 FL Primary

Addresses

Primary practice location

3411 Bonita Beach Rd Ste 302
Bonita Springs, FL 34134-4155

Mailing address

3411 Bonita Beach Rd Ste 302
Bonita Springs, FL 34134-4155
Phone (239) 949-1222

National Provider Directory

National Provider Directory

Locations

3411 Bonita Beach Rd
Ste 302
Bonita Springs, FL 34134
Phone (239) 949-1222

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1831692904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 BONITA BEACH RD STE 302",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344155",
            "telephone_number": "239-949-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 BONITA BEACH RD STE 302",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344155",
            "telephone_number": "239-949-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELLETIERE FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "PELLETIERE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "239-949-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.