Organization Active NPI

Ocean Ridge Chiropractic Inc

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1548324213
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7072 Issued in FL
Legal business name
OCEAN RIDGE CHIROPRACTIC INC
Practice address
639 E Ocean Ave
Suite 107
Boynton Beach, FL 33435-5011
Phone
(561) 733-8500
Fax
(561) 733-8600
NPI assigned
Dec 20, 2006
Last updated
Mar 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Eric F Hermann, DCNPI 1568468973
Title
President
Phone
(561) 733-7000

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
Chiropractor 111N00000X CH7072 FL Primary

Addresses

Primary practice location

639 E Ocean Ave
Suite 107
Boynton Beach, FL 33435-5011

Mailing address

639 E Ocean Ave
Suite 107
Boynton Beach, FL 33435-5011
Phone (561) 733-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000798 FL Part B Supplier - Clinic/Group Practice 8224107958 Receives reassigned benefits from 1 practitioner
Practice locations: Boyton Beach, FL

National Provider Directory

National Provider Directory

Locations

640 E Ocean Ave
Ste 10
Boynton Beach, FL 33435
Phone (561) 733-7000

639 E Ocean Ave
Ste 107
Ocean Ridge, FL 33435
Phone (561) 733-8500

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1548324213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 E OCEAN AVE",
            "address_2": "SUITE 107",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355011",
            "telephone_number": "561-733-8500",
            "fax_number": "561-733-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 E OCEAN AVE",
            "address_2": "SUITE 107",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355011",
            "telephone_number": "561-733-8500",
            "fax_number": "561-733-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN RIDGE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "HERMANN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-733-7000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.