Bonita Beach Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11185

Legal business name

BONITA BEACH CHIROPRACTIC, LLC

Practice address

11100 Bonita Beach Rd SE Ste 107B
Bonita Springs, FL 34135-5701

Phone

(314) 919-7399

NPI assigned

Jul 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Annie Ray, DCNPI 1619376886

Title

Manager

Phone

(239) 992-6643

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.

• Annie Ray, D.C.

  • Chiropractor
  • Bonita Springs, FL
  • NPI 1619376886
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1851813745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 CARTWRIGHT CT",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 BONITA BEACH RD SE STE 107B",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341355701",
            "telephone_number": "314-919-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA BEACH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-992-6643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "CH11185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Pain Medical Center, Inc.
• David R Boerkoel, OTR
• Guillermo Bohm, MD
• Roger Bohn, D.C.
• Chabely Bolet Reyes
• Bonita Beach Medical Group LLC
• Bonita Community Health Center Inc
• Bonita Community Health Center Inc
• Bonita Dental Care, PA
• Bonita Dental Care,PA

• Chiropractor in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.