NPIMap

Individual provider Active NPI

Edwin W Bice III, DC

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1699878173
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2729 Issued in NC
Practice address
552 Williamson Rd.
Mooresville, NC 28117
Phone
(704) 664-6932
Fax
(704) 660-6932
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2729 NC Primary

Addresses

Primary practice location

552 Williamson Rd.
Mooresville, NC 28117

Mailing address

PO Box 4090
552 Williamson Rd.
Mooresville, NC 28117-4090
Phone (704) 236-0109

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

LicenseStateTypeSpecialty
2729NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
It's All Good-Health, Inc. Chiropractor Past Accepting new patients
It's All Good Health Chiropractor Past Accepting new patients
Luke a Bennett LLC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1699878173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4090",
            "address_2": "552 WILLIAMSON RD.",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174090",
            "telephone_number": "704-236-0109",
            "fax_number": "704-658-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 WILLIAMSON RD.",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-664-6932",
            "fax_number": "704-660-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICE",
        "first_name": "EDWIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.