Individual provider Active NPI

Dale Ed Ebling, DC

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1073674057
Registry record updated Oct 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005852 Issued in FL
Practice address
3469 W Boynton Beach Blvd Suite 10
Dale E Ebling DC
Boynton Beach, FL 33436
Phone
(561) 732-5885
Fax
(561) 588-3727
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0005852 FL Primary

Addresses

Primary practice location

3469 W Boynton Beach Blvd Suite 10
Dale E Ebling DC
Boynton Beach, FL 33436

Mailing address

3469 W Boynton Beach Blvd Suite 10
Dale E Ebling DC
Boynton Beach, FL 33436
Phone (561) 732-5885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120522001000 FL Practitioner - Chiropractic 7810081098 Practice locations: Lake Worth Beach, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0005852FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dale E. Ebling, Chiropractor PastSince Dec 13, 1994 Accepting new patients

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318118400000",
    "number": "1073674057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 W BOYNTON BEACH BLVD SUITE 10",
            "address_2": "DALE E EBLING DC",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33436",
            "telephone_number": "561-732-5885",
            "fax_number": "561-588-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 W BOYNTON BEACH BLVD SUITE 10",
            "address_2": "DALE E EBLING DC",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33436",
            "telephone_number": "561-732-5885",
            "fax_number": "561-588-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBLING",
        "first_name": "DALE",
        "middle_name": "ED",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.