New Edge Spine and Sport PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NEW EDGE SPINE AND SPORT PLLC

Practice address

321 Regis Ave Ste 1
Pittsburgh, PA 15236-1453

Phone

(412) 737-6960

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Hosler, DC

Title

President

Phone

(412) 386-8285

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Edge Spine & Sport Doing business as

Locations

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1164997243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 REGIS AVE STE 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152361453",
            "telephone_number": "412-386-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 REGIS AVE STE 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152361453",
            "telephone_number": "412-737-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW EDGE SPINE AND SPORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "HOSLER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-386-8285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031051520001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Edge Spine & Sport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Edge Spine & Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.