Individual provider Active NPI

Robert A Epstein, DC

  • Chiropractor
  • Buford, GA
National Provider Identifier
1831118470
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9922 Issued in FL
Practice address
2033 Buford Hwy
Suite 107
Buford, GA 30518-8802
Phone
(770) 614-7555
NPI assigned
Jul 18, 2006
Last updated
Nov 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9922 FL Primary

Addresses

Primary practice location

2033 Buford Hwy
Suite 107
Buford, GA 30518-8802

Mailing address

11444 Seminole Blvd
Largo, FL 33778-3237
Phone (727) 393-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171215001488 FL Practitioner - Chiropractic 7719983006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Integrative Healthcare LLCGroup PAC ID 8527496918, 3 clinicians

Practice addresses (Care Compare)

6514 Central Ave
St Petersburg, FL 33707-1330
Phone (727) 519-3757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hollstrom & Associates Inc Chiropractor CurrentSince Nov 6, 2017 Accepting new patients
Suncoast Integrative Healthcare LLC Single Specialty CurrentSince Oct 22, 2020 Accepting new patients

Locations

11444 Seminole Blvd
Largo, FL 33778
Phone (727) 201-4105

6514 Central Ave
St Petersburg, FL 33707
Phone (727) 345-7172

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1831118470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11444 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783237",
            "telephone_number": "727-393-6100",
            "fax_number": "727-393-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 BUFORD HWY",
            "address_2": "SUITE 107",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188802",
            "telephone_number": "770-614-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.

Verify at the official NPI Registry.