Randall Lee Ebling, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0002361 Issued in FL

Practice address

209 W Boynton Beach Blvd
Boynton Beach, FL 33435-4022

Phone

(561) 732-1540

Fax

(561) 732-1540

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1700868171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354022",
            "telephone_number": "561-732-1540",
            "fax_number": "561-732-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354022",
            "telephone_number": "561-732-1540",
            "fax_number": "561-732-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBLING",
        "first_name": "RANDALL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0002361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380563800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dynamic Rehab Services LLC
• Kandace Eagle, PSYCH ARNP, PMHNP-BC
• East Boynton Dentistry LLC
• East Delray Medical P a
• Dale Ed Ebling, DC
• Ahmed Ebrahim, MD
• Ecg Consultants of Bethesda LLC
• Maryuri Echevarria del Valle
• Arbra Edelstein, APRN
• Richard Edelstein, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.