Organization Active NPI

Edelburg Chiropractic Inc.

  • Chiropractor
  • Palm Springs, CA
National Provider Identifier
1326212135
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28225 Issued in CA
Legal business name
EDELBURG CHIROPRACTIC INC.
Practice address
2150 E Tahquitz Way
Suite #8
Palm Springs, CA 92262-7045
Phone
(760) 416-2456
Fax
(760) 416-9097
NPI assigned
Apr 14, 2008
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Dr. Robert Wayne Edelburg, D.C.NPI 1659406239
Title
President
Phone
(760) 416-2456

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
Chiropractor 111N00000X DC28225 CA Primary

Addresses

Primary practice location

2150 E Tahquitz Way
Suite #8
Palm Springs, CA 92262-7045

Mailing address

2150 E Tahquitz Way
Suite #8
Palm Springs, CA 92262-7045
Phone (760) 416-2456

National Provider Directory

National Provider Directory

Locations

2150 E Tahquitz Way
Ste 8
Palm Springs, CA 92262
Phone (760) 416-2456

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1326212135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E TAHQUITZ WAY",
            "address_2": "SUITE #8",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627045",
            "telephone_number": "760-416-2456",
            "fax_number": "760-416-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E TAHQUITZ WAY",
            "address_2": "SUITE #8",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627045",
            "telephone_number": "760-416-2456",
            "fax_number": "760-416-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELBURG CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "EDELBURG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-416-2456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.