Nicole M Bennett, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8675 Issued in FL

Practice address

3725 Bonita Beach Rd Ste 4
Bonita Springs, FL 34134-1400

Phone

(239) 763-1288

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bennett Chiropractic and Wellness Center, Inc.

  • Chiropractor
  • Bonita Springs, FL
  • NPI 1073796207
  Medicare reassignment NPD Authorized official
• Smardz Corporation

  • Chiropractor
  • Naples, FL
  • NPI 1386604510
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1962463752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 BONITA BEACH RD STE 4",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341400",
            "telephone_number": "239-763-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 BONITA BEACH RD STE 4",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341400",
            "telephone_number": "239-763-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381769501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Landon Belk
• Benecard Central Fill of FL LLC
• Bennett Chiropractic and Wellness Center, Inc.
• Hunter Bennett, DMD
• Keith C Bennett, DPT
• Nicholas Benvenuti
• Aldo R Beretta, MD
• Amal Bernal
• Macie Denise Berry, DMD
• Shauna E Berry, D.O.

• 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 May 22, 2023; 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.

Verify at the official NPI Registry.