Individual provider Active NPI

Edoardo Pate

  • Chiropractor
  • Belmont, NC
National Provider Identifier
1285079533
Registry record updated Sep 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5089 Issued in NC
Practice address
6021 W Wilkinson Blvd
Belmont, NC 28012
Phone
(619) 218-3462
NPI assigned
Apr 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-0013248 OR
Chiropractor 111N00000X 5089 NC Primary

Addresses

Primary practice location

6021 W Wilkinson Blvd
Belmont, NC 28012

Mailing address

1001 Palisades Cir Apt 210
Belmont, NC 28012-3668

Other practice location 1

4136 SE Stark St
Portland, OR 97214-3245
Phone (619) 218-3462

Other practice location 2

4136 SE Stark St
Portland, OR 97214-3245
Phone (619) 218-3462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191112001103 NC Practitioner - Chiropractic 1850723990 Reassigns benefits to 1 organization
Practice locations: Belmont, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6021 W Wilkinson Blvd
Belmont, NC 28012-2895
Phone (760) 485-0540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RPH-0013248ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pate Enterprises, PLLC CurrentSince Jan 28, 2021 Accepting new patients

Locations

6021 W Wilkinson Blvd
Belmont, NC 28012
Phone (619) 218-3462

6021 W Wilkinson Blvd
Ste 100
Belmont, NC 28012

Organizations & group practices 1

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": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569110400000",
    "number": "1285079533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PALISADES CIR APT 210",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 W WILKINSON BLVD",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "28012",
            "telephone_number": "619-218-3462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4136 SE Stark St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972143245",
            "country_code": "US",
            "telephone_number": "619-218-3462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4136 SE Stark St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972143245",
            "country_code": "US",
            "telephone_number": "619-218-3462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATE",
        "first_name": "EDOARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2019-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0013248",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2019; 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.