Edwards Chiropratic Offices PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EDWARDS CHIROPRATIC OFFICES PA

Practice address

4558 San Juan Ave
Jacksonville, FL 32210-2051

Phone

(904) 389-0667

Fax

(904) 389-5871

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Allen Edwards, D.C.

Title

Owner

Phone

(904) 389-0667

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Edwards Chiropractic PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Edwards Chiropractic PA

  • Chiropractor
  • Jacksonville, FL
  • NPI 1245221399
  NPD tax ID

Locations

Practitioners 3

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

• Pauline Phelan Brown, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1902907173
  Medicare reassignment Care Compare group NPD
• Robert F Travis Jr., D. C.

  • Rehabilitation Chiropractor
  • Jacksonville, FL
  • NPI 1568556603
  Medicare reassignment Care Compare group NPD
• Christhian Louis Vera-Morales, D.C

  • Chiropractor
  • Jacksonville, FL
  • NPI 1235784125
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1427249713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4558 SAN JUAN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102051",
            "telephone_number": "904-389-0667",
            "fax_number": "904-389-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4558 SAN JUAN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102051",
            "telephone_number": "904-389-0667",
            "fax_number": "904-389-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS CHIROPRATIC OFFICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-389-0667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "72175",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward K McGough MD PA
• Edward Orshansky MD Inc
• Edward Waters University (Ewc Sports Medicine)
• Edwards & Cavendish P.a.
• Edwards Chiropractic PA
• Edwards Counseling Associates, Corp
• Tamara D Edwards-Cruz, BUSINESS OWNER
• Antonio Edwards
• Britne Edwards
• Brittany Edwards, APRN

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.