Active NPI
Eric Chance, D.C.
- Chiropractor
- Port Saint Lucie, FL
National Provider Identifier
1790112597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10992
- Practice address
- 10050 SW Innovation Way
Suite 201
Port Saint Lucie, FL 34987-2117 - Phone
- (772) 879-8700
- Fax
- (772) 879-8710
- NPI assigned
- Oct 11, 2013
- Sex
- Male
- Sole proprietor
- No
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 10992 | FL | Primary |
Addresses
Primary practice location
10050 SW Innovation Way
Suite 201
Port Saint Lucie, FL 34987-2117
Mailing address
10050 SW Innovation Way
Suite 201
Port Saint Lucie, FL 34987-2117
Phone (772) 879-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
324 Cross St
Punta Gorda, FL 33950-4828
Phone (941) 205-2180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 10992 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Health and Rehab of Punta Gorda | Current | Accepting new patients |
Locations
2905 Tamiami Trl
Punta Gorda, FL 33950
Phone (941) 205-2180
324 Cross St
Punta Gorda, FL 33950
Phone (941) 205-2180
Organizations & group practices 1
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.
-
- Sports Medicine (Internal Medicine) Physician
- Punta Gorda, FL
- NPI 1184946691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1790112597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10050 SW INNOVATION WAY",
"address_2": "SUITE 201",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349872117",
"telephone_number": "772-879-8700",
"fax_number": "772-879-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 SW INNOVATION WAY",
"address_2": "SUITE 201",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349872117",
"telephone_number": "772-879-8700",
"fax_number": "772-879-8710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANCE",
"first_name": "ERIC",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-11",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.