Organization Active NPI

Edwards Chiropractic and Acupuncture Center LLC

  • Chiropractor
  • Edwards, CO
National Provider Identifier
1215068440
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3992 Issued in CO
Legal business name
EDWARDS CHIROPRACTIC AND ACUPUNCTURE CENTER LLC
Practice address
34295 U.S. Hwy 6
Unit C-6
Edwards, CO 81632-1967
Phone
(970) 926-9222
Fax
(970) 926-9223
NPI assigned
Mar 8, 2007
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Dr. Eric L. Eckdahl, D.C.NPI 1992836845
Title
Doctor and Owner
Phone
(970) 926-9222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3992 CO Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4073 CO
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 3992 CO
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 686 CO

Addresses

Primary practice location

34295 U.S. Hwy 6
Unit C-6
Edwards, CO 81632-1967

Mailing address

PO Box 1967
Edwards, CO 81632-1967
Phone (970) 926-9222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1215068440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1967",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816321967",
            "telephone_number": "970-926-9222",
            "fax_number": "970-926-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34295 U.S. HWY 6",
            "address_2": "UNIT C-6",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816321967",
            "telephone_number": "970-926-9222",
            "fax_number": "970-926-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS CHIROPRACTIC AND ACUPUNCTURE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "ECKDAHL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR AND OWNER",
        "authorized_official_telephone_number": "970-926-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3992",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4073",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "3992",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.