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DR. GAVIN JAY WIDOM DC
NPI 1699866335
Chiropractor in Naples, FL

Active since September 27, 2006
1400 GOODLETTE RD N, NAPLES, FL 34102(239) 263-3332(239) 262-4780 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gavin Jay Widom Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GAVIN JAY WIDOM DC (NPI 1699866335) is an individual chiropractor in Naples, Florida, licensed in Florida (CH0006230) and active in the NPI registry since September 2006. He is a graduate of National College Of Chiropractic (1983).

NPPES Registry Identity

NPI1699866335
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GAVIN JAY WIDOMCredential: DC
Location Address1400 GOODLETTE RD NNaples, FL 34102-5258
Mailing Address1400 Goodlette Rd NNaples, FL 34102-5258 · (239) 263-3332 · Fax (239) 262-4780
Phone(239) 263-3332
Fax(239) 262-4780
Sole ProprietorYes
Medical School CMSNational College Of ChiropracticGraduated 1983
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1699866335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH0006230
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1400 GOODLETTE RD N, Naples, FL 34102
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Other Names 1

Professional Name (2)Ms. Sonia Kioko Horvath

Other Identifiers 2

Medicare UPINT45232FL
Medicare ID-Type Unspecified22573FL · Chiropractic

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gavin Jay Widom Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890945182
PECOS Enrollment IDI20121023000135

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
361 services60 patients

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 Gavin Widom's NPI number?

The NPI number for Gavin Widom is 1699866335. It was assigned to this individual provider in the NPPES registry on September 27, 2006. The provider is also known as Ms. Sonia Kioko Horvath.

Where is Gavin Widom located?

Gavin Widom practices at 1400 Goodlette Rd N, Naples, FL 34102. The listed phone number is (239) 263-3332.

What is Gavin Widom's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Gavin Widom enrolled in Medicare?

Yes. Gavin Widom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gavin Widom was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.