Individual provider Active NPI

Eric J Cohen, DC

  • Chiropractor
  • Lake Worth, FL
National Provider Identifier
1457426793
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5099 Issued in FL
Practice address
6620 Lake Worth Rd
Suite C
Lake Worth, FL 33467-1518
Phone
(561) 641-1111
Fax
(561) 296-0336
NPI assigned
Nov 22, 2006
Last updated
May 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5099 FL Primary

Addresses

Primary practice location

6620 Lake Worth Rd
Suite C
Lake Worth, FL 33467-1518

Mailing address

6620 Lake Worth Rd
Suite C
Lake Worth, FL 33467-1518
Phone (561) 641-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110318000171 FL Practitioner - Chiropractic 7911180674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6620 Lake Worth Rd
Suite C
Lake Worth, FL 33467-1561
Phone (561) 641-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eric J Cohen DC PA Chiropractor CurrentSince Nov 22, 2010 Accepting new patients

Locations

6620 Lake Worth Rd
Ste C
Lake Worth, FL 33467
Phone (561) 641-1111

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1457426793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 LAKE WORTH RD",
            "address_2": "SUITE C",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671518",
            "telephone_number": "561-641-1111",
            "fax_number": "561-296-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 LAKE WORTH RD",
            "address_2": "SUITE C",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671518",
            "telephone_number": "561-641-1111",
            "fax_number": "561-296-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.