Active NPI
Chad William Edison, D.C.
- Chiropractor
- Adrian, MI
National Provider Identifier
1376536144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CE007123
- Practice address
- 1921 W. US 223
Adrian, MI 49221 - Phone
- (517) 263-2900
- Fax
- (517) 263-9250
- NPI assigned
- Aug 26, 2005
- 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 | CE007123 | MI | Primary |
Addresses
Primary practice location
1921 W. US 223
Adrian, MI 49221
Mailing address
1921 W. US 223
Adrian, MI 49221
Phone (517) 263-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ON29910 | Other | MI | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1921 US Hwy 223
Adrian, MI 49221-1242
Phone (517) 263-2900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CE007123 | MI | MD | Chiropractor |
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.
-
- Chiropractor
- Adrian, MI
- NPI 1174753834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1376536144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 W. US 223",
"city": "ADRIAN",
"state": "MI",
"postal_code": "49221",
"telephone_number": "517-263-2900",
"fax_number": "517-263-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 W. US 223",
"city": "ADRIAN",
"state": "MI",
"postal_code": "49221",
"telephone_number": "517-263-2900",
"fax_number": "517-263-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDISON",
"first_name": "CHAD",
"middle_name": "WILLIAM",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "CE007123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "ON29910",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.