Organization Active NPI

Dr. Edward M. Frisbee Canter for Heathly Living

  • Chiropractor
  • Fort Walton Beach, FL
National Provider Identifier
1699961532
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. EDWARD M. FRISBEE CANTER FOR HEATHLY LIVING
Practice address
119 Truxton Ave
Fort Walton Beach, FL 32547-2460
Phone
(850) 862-4313
Fax
(850) 863-1765
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Mrs. Destiny A. Stark
Title
Manager
Phone
(850) 862-4313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

119 Truxton Ave
Fort Walton Beach, FL 32547-2460

Mailing address

119 Truxton Ave
Fort Walton Beach, FL 32547-2460
Phone (850) 862-4313

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1699961532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 TRUXTON AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472460",
            "telephone_number": "850-862-4313",
            "fax_number": "850-863-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TRUXTON AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472460",
            "telephone_number": "850-862-4313",
            "fax_number": "850-863-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDWARD M. FRISBEE CANTER FOR HEATHLY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-862-4313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.