Organization Active NPI

Dale E. Ebling,

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1780049726
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005852 Issued in FL
Legal business name
DALE E. EBLING,
Practice address
3469 W Boynton Beach Blvd
Suite 10
Boynton Beach, FL 33436-4611
Phone
(561) 732-5885
Fax
(561) 732-5885
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Dale E Ebling, DCNPI 1073674057
Title
Doctor
Phone
(561) 732-5885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0005852 FL Primary

Addresses

Primary practice location

3469 W Boynton Beach Blvd
Suite 10
Boynton Beach, FL 33436-4611

Mailing address

3469 W Boynton Beach Blvd
Suite 10
Boynton Beach, FL 33436-4611
Phone (561) 732-5885

Other identifiers 1

IdentifierTypeStateIssuer
382173100MedicaidFL

National Provider Directory

National Provider Directory

Locations

3469 W Boynton Beach Blvd
Ste 10
Boynton Beach, FL 33436
Phone (561) 732-5885

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1780049726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 W BOYNTON BEACH BLVD",
            "address_2": "SUITE 10",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364611",
            "telephone_number": "561-732-5885",
            "fax_number": "561-732-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 W BOYNTON BEACH BLVD",
            "address_2": "SUITE 10",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364611",
            "telephone_number": "561-732-5885",
            "fax_number": "561-732-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE E. EBLING,",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "EBLING",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "561-732-5885",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382173100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.