VANDERBILT CHIROPRACTIC CLINIC, PA
NPI 1780886408
Chiropractor in Naples, FL

Active since June 04, 2007
4530 TAMIAMI TRL N STE 2, NAPLES, FL 34103(239) 596-8800(239) 591-0737 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Vanderbilt Chiropractic Clinic, Pa NPPES

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

VANDERBILT CHIROPRACTIC CLINIC, PA (NPI 1780886408) is a healthcare organization registered as a chiropractor in Naples, Florida and active in the NPI registry since June 2007. The organization maintains a secondary practice location in Naples and lists Douglas Gerard Dishauzi, President, as its authorized official.

NPPES Registry Identity

NPI1780886408
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameVANDERBILT CHIROPRACTIC CLINIC, PA
Location Address4530 TAMIAMI TRL N STE 2Naples, FL 34103-3011
Mailing Address4530 Tamiami Trl N Ste 2Naples, FL 34103-3011 · (239) 596-8800 · Fax (239) 591-0737
Fax(239) 591-0737
Organization SubpartNo
Authorized OfficialDouglas Gerard DishauziPresident · (239) 596-8800
Enumeration DateJune 4, 2007
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1780886408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH8291
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.
4530 TAMIAMI TRL N STE 2, Naples, FL 34103

Secondary Practice Location 1

Location 12430 Vanderbilt Beach Rd, Suite 110Naples, FL 34109-2654 · Phone (239) 596-8800 · Fax (239) 591-0737

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vanderbilt Chiropractic Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20041012001190Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vanderbilt Chiropractic Clinic, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1730124207
2430 VANDERBILT BEACH ROAD EXT SUITE 110
Naples, FL 34109
(239) 596-8800
✔ Accepts Medicare4.3 mi

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 Vanderbilt Chiropractic Clinic, PA's NPI number?

The NPI number for Vanderbilt Chiropractic Clinic, PA is 1780886408. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Vanderbilt Chiropractic Clinic, PA located?

Vanderbilt Chiropractic Clinic, PA is located at 4530 Tamiami Trl N Ste 2, Naples, FL 34103. The listed phone number is (239) 596-8800.

What is Vanderbilt Chiropractic Clinic, PA's specialty?

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

Is Vanderbilt Chiropractic Clinic, PA enrolled in Medicare?

Yes. Vanderbilt Chiropractic Clinic, PA is registered in the Medicare PECOS enrollment system.

When is Vanderbilt Chiropractic Clinic, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Vanderbilt Chiropractic Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Vanderbilt Chiropractic Clinic, PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vanderbilt Chiropractic Clinic, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Vanderbilt Chiropractic Clinic, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vanderbilt Chiropractic Clinic, PA was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.