Individual provider Active NPI

Taryn O'Bannon, DC

  • Chiropractor
  • Naples, FL
National Provider Identifier
1972373868
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13689 Issued in FL
Practice address
13020 Livingston Rd Ste 14
Naples, FL 34105-5023
Phone
(239) 263-3330
NPI assigned
Jan 3, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13689 FL Primary

Addresses

Primary practice location

13020 Livingston Rd Ste 14
Naples, FL 34105-5023

Mailing address

13020 Livingston Rd Ste 14
Naples, FL 34105-5023
Phone (239) 263-3330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241110000017 FL Practitioner - Chiropractic 4486188729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Synergy Integrated Healthcare IncGroup PAC ID 9436469194, 9 clinicians

Practice addresses (Care Compare)

13020 Livingston Rd
Suite 14
Naples, FL 34105-5023
Phone (239) 263-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13689FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Integrated Healthcare Inc Chiropractor CurrentSince Oct 27, 2024 Accepting new patients
Synergy Chiropractic and Health Center PA Chiropractor PastSince Nov 10, 2024 Accepting new patients
Align & Thrive Chiropractic LLC Chiropractor PastSince Jan 1, 2024 Accepting new patients

Locations

13020 Livingston Rd
Ste 14
Naples, FL 34105
Phone (239) 263-3330

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1972373868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 LIVINGSTON RD STE 14",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055023",
            "telephone_number": "239-263-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 LIVINGSTON RD STE 14",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341055023",
            "telephone_number": "239-263-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BANNON",
        "first_name": "TARYN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.