Edwards Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EDWARDS CHIROPRACTIC, LLC

Practice address

2766 W College Ave
Suite 200
State College, PA 16801-2647

Phone

(814) 308-9397

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Gregory Edwards, DC

Title

Owner

Phone

(703) 217-5186

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1376918771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 W COLLEGE AVE",
            "address_2": "SUITE 200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012647",
            "telephone_number": "814-308-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 W COLLEGE AVE",
            "address_2": "SUITE 200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168012647",
            "telephone_number": "814-308-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-217-5186",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Edward Eaton, DO
• Andrew Ebert, DPT
• Alexandra Celeste Ebken, LCSW
• Ruben Echemendia
• Bernard V Eck, RPH, CACP
• Jonathan Edwards, M.ED, NCC, LPC
• Matthew Richard Eernisse, OD
• Jessica Crysten Effrig, PH.D.
• Troyanna Egan, PA-C
• Rebecca B Egbert, LPC

• Chiropractor in State College, PA
• Providers in State College, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.