Organization Active NPI

Non-Surgical Orthopedics & Spine PLLC

  • Specialist
  • Clearwater, FL
National Provider Identifier
1275996589
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME104981 Issued in FL
Legal business name
NON-SURGICAL ORTHOPEDICS & SPINE PLLC
Practice address
2325 Ulmerton Rd
Suite 26
Clearwater, FL 33762-3373
Phone
(727) 914-4591
Fax
(727) 914-4598
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
David M Epperson, MDNPI 1033291380
Title
Physician
Phone
(727) 914-4591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME104981 FL Primary

Addresses

Primary practice location

2325 Ulmerton Rd
Suite 26
Clearwater, FL 33762-3373

Mailing address

2325 Ulmerton Rd
Suite 26
Clearwater, FL 33762-3373
Phone (727) 914-4591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160714000203 FL Part B Supplier - Clinic/Group Practice 5991097800 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL
O20170106000126 FL DME Supplier - Physician - General Practice 5991097800 Practice locations: Clearwater, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2112965Non Surgical Orthopedics and Spine2325 Ulmerton Rd Ste 26, Clearwater, FL 33762Certificate of waiverMay 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Kinetic Spine Orthopedics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1275996589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 ULMERTON RD",
            "address_2": "SUITE 26",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623373",
            "telephone_number": "727-914-4591",
            "fax_number": "727-914-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 ULMERTON RD",
            "address_2": "SUITE 26",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623373",
            "telephone_number": "727-914-4591",
            "fax_number": "727-914-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NON-SURGICAL ORTHOPEDICS & SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-914-4591",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME104981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.