The Edge Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THE EDGE CHIROPRACTIC LLC

Doing business as

Edge Chiropractic

Practice address

4 Pearl Dr Ste 1
Ormond Beach, FL 32174-1927

Phone

(386) 290-6007

NPI assigned

Feb 18, 2020

Last updated

Feb 18, 2020By 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

Mr. Jason Dean Dunlap, DCNPI 1245871292

Title

Owner/ Operator

Phone

(410) 200-0029

Specialties & licenses 1

Addresses

Other names 1

• Edge Chiropractic Doing business as

Locations

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.

• Jason Dean Dunlap, DC

  • Chiropractor
  • Ormond Beach, FL
  • NPI 1245871292
  NPD Authorized official

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1659904720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 RIVER BLUFF DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743833",
            "telephone_number": "410-200-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PEARL DR STE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741927",
            "telephone_number": "386-290-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EDGE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/ OPERATOR",
        "authorized_official_telephone_number": "410-200-0029",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edge Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.