Dr Vivian Ebert Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH0003942 Issued in FL

Legal business name

DR VIVIAN EBERT INC.

Doing business as

LivingWell Chiropractic

Practice address

10020 Coconut Rd.
#134
Bonita Springs, FL 34135-8136

Phone

(239) 498-2225

Fax

(239) 498-0347

NPI assigned

Apr 7, 2007

Last updated

Jan 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vivian D Ebert, DC

Title

Owner

Phone

(239) 498-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LivingWell Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vivian B Ebert, DC

  • Sports Physician Chiropractor
  • Bonita Springs, FL
  • NPI 1639243702
  Medicare reassignment NPD
• Timothy William Sopp, D.C.

  • Chiropractor
  • Columbus, OH
  • NPI 1740576594
  NPD

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1447373394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 COCONUT RD.",
            "address_2": "#134",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358136",
            "telephone_number": "239-498-2225",
            "fax_number": "239-498-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 COCONUT RD.",
            "address_2": "#134",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358136",
            "telephone_number": "239-498-2225",
            "fax_number": "239-498-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VIVIAN EBERT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-498-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH0003942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380574300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LivingWell Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Donovan, MSW, LCSW
• Zenia Dorado Perera
• Douglass Orthopedic & Spine Rehabilitation, Inc.
• Eric Eldon Douglass, PT, DPT, OCS
• Downtown Doctor Care Corp (DDC Healthcare)
• Drake Family Medicine, LLC
• Daniel J Drew, MD
• Macy Dunsworth
• Dva Renal Healthcare Inc (Bonita Springs Dialysis)
• E&E Shaping Behaviors LLC

• Sports Physician Chiropractor in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.