Organization Active NPI

Bee Ridge Chiropractic Center LLC

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1407097546
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8091 Issued in FL
Legal business name
BEE RIDGE CHIROPRACTIC CENTER LLC
Practice address
6155 26TH St W
Bradenton, FL 34207-4404
Phone
(941) 753-3949
Fax
(941) 756-8744
NPI assigned
Mar 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Dr. Darren James Edmonds, D.C.NPI 1902917016
Title
Owner
Phone
(941) 365-8555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8091 FL Primary

Addresses

Primary practice location

6155 26TH St W
Bradenton, FL 34207-4404

Mailing address

PO Box 21962
Sarasota, FL 34276-4962
Phone (941) 365-8555

Other identifiers 3

IdentifierTypeStateIssuer
70249OtherFLBLUE CROSS PROVIDER #
381785700MedicaidFL
K2568OtherFLMEDICARE GROUP #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1407097546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21962",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342764962",
            "telephone_number": "941-365-8555",
            "fax_number": "941-756-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074404",
            "telephone_number": "941-753-3949",
            "fax_number": "941-756-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEE RIDGE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-365-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "70249",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381785700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "K2568",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.