Organization Active NPI

Optimal Health Chiropractic, PLC

  • Chiropractor
  • Bonita Springs, FL
National Provider Identifier
1902824451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9212 Issued in FL
Legal business name
OPTIMAL HEALTH CHIROPRACTIC, PLC
Practice address
16517 Vanderbilt Dr
Suite 1
Bonita Springs, FL 34134-7550
Phone
(239) 992-5311
Fax
(239) 947-6338
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin Robert Smith, D.C.
Title
Owner
Phone
(239) 992-5311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9212 FL Primary

Addresses

Primary practice location

16517 Vanderbilt Dr
Suite 1
Bonita Springs, FL 34134-7550

Mailing address

16517 Vanderbilt Dr
Suite 1
Bonita Springs, FL 34134-7550
Phone (239) 992-5311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902824451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16517 VANDERBILT DR",
            "address_2": "SUITE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347550",
            "telephone_number": "239-992-5311",
            "fax_number": "239-947-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16517 VANDERBILT DR",
            "address_2": "SUITE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347550",
            "telephone_number": "239-992-5311",
            "fax_number": "239-947-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-992-5311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9212",
            "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 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.