Organization Active NPI

Edens & Kaplan PL

  • Chiropractor
  • Lakewood Ranch, FL
National Provider Identifier
1356545438
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7915 Issued in FL
Legal business name
EDENS & KAPLAN PL
Practice address
8430 Enterprise Cir
Suite 120
Lakewood Ranch, FL 34202-4107
Phone
(941) 907-9663
Fax
(941) 907-6663
NPI assigned
Jun 13, 2007
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. Brian Michael Edens, D.C.NPI 1619070877
Title
President
Phone
(941) 907-9663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7915 FL Primary

Addresses

Primary practice location

8430 Enterprise Cir
Suite 120
Lakewood Ranch, FL 34202-4107

Mailing address

8430 Enterprise Cir
Suite 120
Lakewood Ranch, FL 34202-4107
Phone (941) 907-9663

Other names 1

  • Advanced Chiropractic & Physiotherapy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110429000216 FL Part B Supplier - Clinic/Group Practice 2567647985 Receives reassigned benefits from 2 practitioners
Practice locations: Lakewood Ranch, FL

National Provider Directory

National Provider Directory

Locations

8378 Market St
Lakewood Ranch, FL 34202
Phone (941) 907-9663

Practitioners & affiliated clinicians

Practitioners 3

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": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1356545438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 ENTERPRISE CIR",
            "address_2": "SUITE 120",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024107",
            "telephone_number": "941-907-9663",
            "fax_number": "941-907-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 ENTERPRISE CIR",
            "address_2": "SUITE 120",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024107",
            "telephone_number": "941-907-9663",
            "fax_number": "941-907-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDENS & KAPLAN PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "EDENS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-907-9663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic & Physiotherapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.