Active NPI
Christian Edwards, D.C.
- Chiropractor
- New Smyrna Beach, FL
National Provider Identifier
1699119057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10845
- Practice address
- 515 Canal St
New Smyrna Beach, FL 32168-7011 - Phone
- (386) 402-8997
- Fax
- (800) 483-2093
- NPI assigned
- Apr 29, 2013
- Last updated
- Apr 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10845 | FL | Primary |
Addresses
Primary practice location
515 Canal St
New Smyrna Beach, FL 32168-7011
Mailing address
515 Canal St
New Smyrna Beach, FL 32168-7011
Phone (386) 402-8997
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH10845 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Well Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
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.
-
dba Be Well: A Chiropractic Wellness Community
- Chiropractor
- New Smyrna Beach, FL
- NPI 1245550615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1699119057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 CANAL ST",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321687011",
"telephone_number": "386-402-8997",
"fax_number": "800-483-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 CANAL ST",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321687011",
"telephone_number": "386-402-8997",
"fax_number": "800-483-2093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-29",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Smyrna Beach, FL
- Easterseals Northeast Central Florida, Inc.
- Easterseals Northeast Central Florida, Inc.
- Easterseals Northeast Central Florida, Inc.
- Easterseals Northeast Central Florida, Inc.
- Easterseals Northeast Central Florida, Inc.
- Roxanne L Edwards, MD
- Wendy Edwards, DC
- Garett Eldridge, DC
- Blayne Sienna Elliott, LMHC
- Elpis Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.