Individual provider Active NPI

Trudi Ewing Vogel, DC

  • Chiropractor
  • South Daytona, FL
National Provider Identifier
1689662470
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006899 Issued in FL
Practice address
1780 S Nova Rd
Ste 4
South Daytona, FL 32119-1777
Phone
(386) 788-4778
Fax
(386) 788-8110
NPI assigned
Oct 6, 2005
Last updated
Apr 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0006899 FL Primary

Addresses

Primary practice location

1780 S Nova Rd
Ste 4
South Daytona, FL 32119-1777

Mailing address

1780 S Nova Rd
Ste 4
South Daytona, FL 32119-1777
Phone (386) 788-4778

Other identifiers 5

IdentifierTypeStateIssuer
0771384OtherFLCIGNA
350055155OtherMEDICARE RAILROAD
0000224084OtherFLORIDA HEALTHCARE
55270OtherBLUE CROSS BLUE SHIELD
353748OtherAVMED

Other names 1

  • Dr. Trudi Frances Ewing Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000647 FL Practitioner - Chiropractic 8123036191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1780 S Nova Rd
Suite 4
South Daytona, FL 32119-1777
Phone (386) 788-4778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0006899FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vogel Chiropractic Clinic LLC Chiropractor CurrentSince Apr 2, 2001 Accepting new patients

Locations

1780 S Nova Rd
Ste 4
South Daytona, FL 32119
Phone (386) 679-7731

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1689662470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 S NOVA RD",
            "address_2": "STE 4",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191777",
            "telephone_number": "386-788-4778",
            "fax_number": "386-788-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 S NOVA RD",
            "address_2": "STE 4",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191777",
            "telephone_number": "386-788-4778",
            "fax_number": "386-788-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "TRUDI",
        "middle_name": "EWING",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0771384",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "350055155",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA HEALTHCARE",
            "identifier": "0000224084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55270",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "353748",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRUDI",
            "last_name": "EWING",
            "middle_name": "FRANCES",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.