Kent Richard Ebling, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006058 Issued in FL

Practice address

11 SE 8TH St
Pompano Beach, FL 33060-8439

Phone

(954) 782-2066

Fax

(954) 782-2066

NPI assigned

Oct 11, 2005

Last updated

Sep 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• FL HMO

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.

• Kentreblingdc

  • Chiropractor
  • Pompano Beach, FL
  • NPI 1851756928
  NPD (past) Authorized official

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1013905223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SE 8TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608439",
            "telephone_number": "954-782-2066",
            "fax_number": "954-782-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SE 8TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608439",
            "telephone_number": "954-782-2066",
            "fax_number": "954-782-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBLING",
        "first_name": "KENT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382273700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350032963",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Earthly Doula, LLC
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• East Pompano Pediatrics Corp
• Eastern Medical Equipment Distributors Inc. (Emed)
• Eastside Vision Center PA
• Gisselle Echevarria
• Yeney Echevarria
• Kristin Davis Edick
• Anne Fitz Ediger
• Vanessa Edmond

• Chiropractor in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.