Individual provider Active NPI

Robert Wayne Edelburg, D.C.

  • Chiropractor
  • Palm Springs, CA
National Provider Identifier
1659406239
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28225 Issued in CA
Practice address
2150 E Tahquitz Canyon Way
Suite #8
Palm Springs, CA 92262-7045
Phone
(760) 416-2456
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28225 CA Primary

Addresses

Primary practice location

2150 E Tahquitz Canyon Way
Suite #8
Palm Springs, CA 92262-7045

Mailing address

2150 E Tahquitz Canyon Way
Suite #8
Palm Springs, CA 92262-7045
Phone (760) 416-2456

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
1495NMMDMental Health Counselor
DC28225CAMDChiropractor
28225CAMDNeonatal/Pediatric Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Edelburg Chiropractic Inc. Chiropractor PastSince May 3, 2005 Accepting new patients
Santa Maria P.C. Dba Caremore Chiropractic Centers Chiropractor PastSince May 20, 1996 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659406239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE #8",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627045",
            "telephone_number": "760-416-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE #8",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627045",
            "telephone_number": "760-416-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELBURG",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.