Active NPI
Eric Edgerton, D.C.
- Chiropractor
- Clearwater, FL
National Provider Identifier
1780966887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10333
- Practice address
- 29901 US Highway 19 N
Clearwater, FL 33761-1041 - Phone
- (727) 286-6203
- Fax
- (727) 286-6204
- NPI assigned
- Sep 14, 2011
- 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 | CH 10333 | FL | Primary |
Addresses
Primary practice location
29901 US Highway 19 N
Clearwater, FL 33761-1041
Mailing address
29901 US Highway 19 N
Clearwater, FL 33761-1041
Phone (727) 286-6203
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12323896 | Other | FL | CAQH |
| 220HD | Other | FL | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 10333 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auto Injury Treatment Clinic LLC | Chiropractor | Current | Accepting new patients |
| Nassberg Diabetes Associates Inc | Current | Accepting new patients |
Locations
417 Apollo Beach Blvd
Apollo Beach, FL 33572
Phone (813) 733-5883
Organizations & group practices 2
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.
-
- Chiropractor
- Apollo Beach, FL
- NPI 1205590858
-
dba Nassberg Diabetes Associates
- Family Nurse Practitioner
- Boca Raton, FL
- NPI 1891000543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1780966887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29901 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337611041",
"telephone_number": "727-286-6203",
"fax_number": "727-286-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29901 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337611041",
"telephone_number": "727-286-6203",
"fax_number": "727-286-6204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGERTON",
"first_name": "ERIC",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-14",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12323896",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "220HD",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.