Individual provider Active NPI

Steven Michael Ebert, DC

  • Rehabilitation Chiropractor
  • Dayton, OH
National Provider Identifier
1619909769
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
899 Issued in WV
Practice address
2601 Needmore Rd
Dayton, OH 45414-4205
Phone
(937) 277-7246
Fax
(937) 277-3719
NPI assigned
Jul 7, 2006
Last updated
Mar 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 899 WV Primary

Addresses

Primary practice location

2601 Needmore Rd
Dayton, OH 45414-4205

Mailing address

1076 E Bethlehem Blvd
Wheeling, WV 26003-4961
Phone (304) 243-1055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
899WVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emil Chiropractic LLC Rehabilitation Past Accepting new patients
Preferred Chiropractic LLC PastSince Sep 18, 2018 Accepting new patients

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, 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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1619909769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 E BETHLEHEM BLVD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034961",
            "telephone_number": "304-243-1055",
            "fax_number": "304-243-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 NEEDMORE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454144205",
            "telephone_number": "937-277-7246",
            "fax_number": "937-277-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WV",
            "license": "899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.