Individual provider Active NPI

Eric Ubrin, D.C.

  • Chiropractor
  • Steubenville, OH
National Provider Identifier
1417348202
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-04474 Issued in FL
Practice address
2990 Johnson Rd
2ND Floor
Steubenville, OH 43952-2360
Phone
(740) 346-3060
NPI assigned
Feb 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011010 PA
Chiropractor 111N00000X DC-04474 FL Primary

Addresses

Primary practice location

2990 Johnson Rd
2ND Floor
Steubenville, OH 43952-2360

Mailing address

2990 Johnson Rd
2ND Floor
Steubenville, OH 43952-2360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230328002031 OH Practitioner - Chiropractic 0042684318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-04474FLMDChiropractor
DC011010PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Revenant Chiropractic Chiropractor Current Accepting new patients

Locations

20411 Route 19
Unit 6
Cranberry Twp, PA 16066
Phone (724) 316-1396

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1423872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1417348202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 JOHNSON RD",
            "address_2": "2ND FLOOR",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 JOHNSON RD",
            "address_2": "2ND FLOOR",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522360",
            "telephone_number": "740-346-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBRIN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-14",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011010",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "DC-04474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.