Active NPI
Chad Austin Eldridge, DC
- Chiropractor
- Winter Park, FL
National Provider Identifier
1285979203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10797
- Practice address
- 201 W Canton Ave
Suite 275a
Winter Park, FL 32789-3154 - Phone
- (407) 906-2415
- NPI assigned
- Dec 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 10797 | FL | Primary |
Addresses
Primary practice location
201 W Canton Ave
Suite 275a
Winter Park, FL 32789-3154
Mailing address
201 W Canton Ave
Suite 275a
Winter Park, FL 32789-3154
Phone (407) 906-2415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 10797 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1285979203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W CANTON AVE",
"address_2": "SUITE 275A",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327893154",
"telephone_number": "407-906-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W CANTON AVE",
"address_2": "SUITE 275A",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327893154",
"telephone_number": "407-906-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDRIDGE",
"first_name": "CHAD",
"middle_name": "AUSTIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-03",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.