Edward Dee Vickers Jr.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 5189 Issued in FL

Practice address

1116 Billy Martin Rd
Avon Park, FL 33825-4858

Phone

(863) 453-0684

Fax

(863) 453-2873

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vickers Chiropractic Health Centers PA

  • Chiropractor
  • Avon Park, FL
  • NPI 1467489245
  NPD (past) Authorized official

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1356310445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338260150",
            "telephone_number": "863-453-0684",
            "fax_number": "863-453-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 BILLY MARTIN RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338254858",
            "telephone_number": "863-453-0684",
            "fax_number": "863-453-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "EDWARD",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 5189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380135700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unity and Love Superior Lab Services
• Yarimar Valle
• Phillip Edward Van Kleeck, MA
• Kimber Vasquez, MD
• Vickers Chiropractic Health Centers PA
• W. Patrick Danzey, D.C.P.a.
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Walgreen Co
• Jay-Shing Wang, MD

• Chiropractor in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.