Organization Active NPI

Robert E Watkins Jr DC Inc

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1962715003
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROBERT E WATKINS JR DC INC
Practice address
6430 Plantation Park CT Ste 100
Fort Myers, FL 33966-4815
Phone
(239) 590-9555
Fax
(866) 254-8158
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Dr. Robert Ernest Watkins Jr., DCNPI 1942298831
Title
Owner/Chiropractic Physician
Phone
(239) 590-9555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 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 names 1

  • SWFL Spinal Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110701000094 FL Part B Supplier - Clinic/Group Practice 0446438972 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL; Labelle, FL

National Provider Directory

National Provider Directory

Locations

7051 Cypress Ter
Ste 106
Fort Myers, FL 33907
Phone (239) 270-3973

6430 Plantation Park Ct
Ste 100
Fort Myers, FL 33966
Phone (239) 590-9555

870 W Hickpochee Ave
Labelle, FL 33935

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1962715003",
    "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": [],
    "basic": {
        "organization_name": "ROBERT E WATKINS JR DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "239-590-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWFL Spinal Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SWFL Spinal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 4, 2020; 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.