Anthony Steven Edgecombe, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002570A Issued in IN

Practice address

1408 Darlington Ave
Suite G
Crawfordsville, IN 47933-2056

Phone

(765) 359-3330

NPI assigned

Jun 21, 2011

Last updated

Jun 21, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Montgomery County Chiropractic Clinic LLC

  • Clinic/Center
  • Crawfordsville, IN
  • NPI 1508148131
  Authorized official Same address or phone

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1396031175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 DARLINGTON AVE",
            "address_2": "SUITE G",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332056",
            "telephone_number": "765-359-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 DARLINGTON AVE",
            "address_2": "SUITE G",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332056",
            "telephone_number": "765-359-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGECOMBE",
        "first_name": "ANTHONY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002570A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.