Individual provider Active NPI

Edgar Vesce, D.C.

  • Chiropractor
  • Jacksonville Beach, FL
National Provider Identifier
1043366065
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9308 Issued in FL
Practice address
1313 Beach Blvd C
Jacksonville Beach, FL 32250-3429
Phone
(904) 372-0623
Fax
(904) 372-0675
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9308 FL Primary

Addresses

Primary practice location

1313 Beach Blvd C
Jacksonville Beach, FL 32250-3429

Mailing address

1313 Beach Blvd C
Jacksonville Beach, FL 32250-3429
Phone (904) 372-0623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000592 FL Practitioner - Chiropractic 8426193541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Healthcare Solutions, IncGroup PAC ID 7810032943, 2 clinicians

Practice addresses (Care Compare)

1313 Beach Blvd
Suite C
Jacksonville Beach, FL 32250-3429
Phone (904) 372-0623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Healthcare Solutions, Inc Chiropractor CurrentSince Sep 28, 2009 Accepting new patients

Locations

1313 Beach Blvd
Ste C
Jax Bch, FL 32250
Phone (904) 372-0623

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1043366065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 BEACH BLVD C",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503429",
            "telephone_number": "904-372-0623",
            "fax_number": "904-372-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 BEACH BLVD C",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503429",
            "telephone_number": "904-372-0623",
            "fax_number": "904-372-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESCE",
        "first_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.