EXPERIENCE FAMILY CHIROPRACTIC
NPI 1447794342
Chiropractor in Cape Coral, FL
About Experience Family Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXPERIENCE FAMILY CHIROPRACTIC (NPI 1447794342) is a healthcare organization registered as a chiropractor in Cape Coral, Florida and active in the NPI registry since December 2016. The organization lists Omar-shay Clark, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Experience Family Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Experience Family Chiropractic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Experience Family Chiropractic's NPI number?
The NPI number for Experience Family Chiropractic is 1447794342. It was assigned to this organization in the NPPES registry on December 12, 2016.
Where is Experience Family Chiropractic located?
Experience Family Chiropractic is located at 2378 Surfside Blvd Suite A133, Cape Coral, FL 33991. The listed phone number is (239) 205-3700.
What is Experience Family Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Experience Family Chiropractic enrolled in Medicare?
Yes. Experience Family Chiropractic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Experience Family Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Experience Family Chiropractic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Experience Family Chiropractic was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Experience Family Chiropractic · NPI 1447794342
Chiropractor organization in Cape Coral, Florida. Organization record, active in the CMS NPPES registry since December 12, 2016.
## Identity
- **NPI:** 1447794342 (Entity type: Organization)
- **Enumerated:** December 12, 2016
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Omar-Shay Clark, OWNER
## Practice location
- **Address:** 2378 SURFSIDE BLVD, SUITE A133, Cape Coral, FL 33991-3181
- **Phone:** (239) 205-3700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1447794342) · Data from the CMS NPPES public registry.