Individual provider Active NPI

Stephen Alan Nedd, D.C.

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1215084215
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6234 Issued in FL
Practice address
1221 Cleveland St
Clearwater, FL 33755-4908
Phone
(727) 467-0775
Fax
(727) 467-0774
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6234 FL Primary

Addresses

Primary practice location

1221 Cleveland St
Clearwater, FL 33755-4908

Mailing address

1221 Cleveland St
Clearwater, FL 33755-4908
Phone (727) 467-0775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081007000442 FL Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 9335217140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Logan College of Chiropractic, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1221 Cleveland St
Clearwater, FL 33755-4908
Phone (727) 467-0775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nedd Chiropractic & Wellness Center Inc Chiropractor CurrentSince Oct 7, 2008 Accepting new patients
Harris Health Center, Inc Chiropractor PastSince Dec 27, 2008 Accepting new patients

Locations

1221 Cleveland St
Clearwater, FL 33755
Phone (727) 467-0775

Organizations & group practices 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1215084215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 CLEVELAND ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554908",
            "telephone_number": "727-467-0775",
            "fax_number": "727-467-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 CLEVELAND ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554908",
            "telephone_number": "727-467-0775",
            "fax_number": "727-467-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDD",
        "first_name": "STEPHEN",
        "middle_name": "ALAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.