Active NPI
Robert Ernest Watkins Jr., DC
- Chiropractor
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0007331
- Practice address
- 6430 Plantation Park CT Ste 100
Fort Myers, FL 33966-4815 - Phone
- (239) 590-9555
- Fax
- (866) 254-8158
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0007331 | FL | Primary |
Addresses
Primary practice location
6430 Plantation Park CT Ste 100
Fort Myers, FL 33966-4815
Mailing address
6430 Plantation Park CT Ste 100
Fort Myers, FL 33966-4815
Phone (239) 590-9555
Other practice location 1
6430 Plantation Park Ct Ste 100
Fort Myers, FL 33966-4815
Phone (239) 590-9555
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55775 | Other | BCBS # | |
| 3811751-00 | Medicaid | FL | |
| 350044658 | Other | RR MEDICARE | |
| 3811751-01 | Medicaid | FL | |
| 350044658 | Other | UHC RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
367 W Hickpoochee Ave
Labelle, FL 33935-4761
Phone (239) 590-9555
6430 Plantation Park
Suite 100
Fort Myers, FL 33966-4720
6430 Plantation Park CT
Suite 100
Fort Myers, FL 33966-4720
Phone (239) 590-9555
7051 Cypress Terrace
Suite 106
Fort Myers, FL 33907-8801
Phone (239) 590-9555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0007331 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert E Watkins Jr DC Inc | Chiropractor | Current | Accepting new patients |
| Robert E Watkins Jr | Chiropractor | Past | Accepting new patients |
Locations
6430 Plantation Park Ct
Ste 100
Fort Myers, FL 33966
Phone (239) 590-9555
7051 Cypress Ter
Ste 106
Fort Myers, FL 33907
Phone (239) 270-3973
367 W Hickpochee Ave
Labelle, FL 33935
Phone (239) 590-9555
870 W Hickpochee Ave
Ste 700
Labelle, FL 33935
Phone (863) 674-9001
870 W Hickpochee Ave
Labelle, FL 33935
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Fort Myers, FL
- NPI 1336373638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1942298831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6430 PLANTATION PARK CT STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664815",
"telephone_number": "239-590-9555",
"fax_number": "866-254-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6430 PLANTATION PARK CT STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664815",
"telephone_number": "239-590-9555",
"fax_number": "866-254-8158"
}
],
"practiceLocations": [
{
"address_1": "6430 Plantation Park Ct Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339664815",
"country_code": "US",
"telephone_number": "239-590-9555",
"fax_number": "866-254-8158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATKINS",
"first_name": "ROBERT",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0007331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "55775",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3811751-00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "350044658",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3811751-01",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC RR MEDICARE",
"identifier": "350044658",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.