East Bay Accident & Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7860 Issued in FL

Legal business name

EAST BAY ACCIDENT & WELLNESS CENTER

Practice address

800 E Bay Dr Ste P
Largo, FL 33770-2554

Phone

(727) 581-2774

Fax

(727) 581-3199

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marc J Rogers, D.C.NPI 1104998020

Title

President

Phone

(727) 581-2774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Marc James Rogers, D.C.

  • Chiropractor
  • Largo, FL
  • NPI 1104998020
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225245392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EAST BAY DRIVE STE P",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702554",
            "telephone_number": "727-581-2774",
            "fax_number": "727-581-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E BAY DR STE P",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702554",
            "telephone_number": "727-581-2774",
            "fax_number": "727-581-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY ACCIDENT & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-581-2774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Christopher Dwyer
• Stephanie Taylor Dye, DMD, MS
• Jolynn Renee Dyer
• Dynamic Behavior Consulting, LLC
• Kelly Jo Dyson, M.A., CCC-A
• East Bay Cde, LLC
• East Bay Dental LLC (East Bay Dental)
• East Bay Family Practice LLC
• Easycare Support Services LLC
• Kendall Bruce Eckert, DR, ND, RCR

• Chiropractor in Largo, FL
• Providers in Largo, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.