Active NPI
Joseph Richard Eisenhauer, DC
- Chiropractor
- Punta Gorda, FL
National Provider Identifier
1831405661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5261
- Practice address
- 2517 Rio Grande Dr
Punta Gorda, FL 33950-6313 - Phone
- (941) 223-9365
- NPI assigned
- Aug 31, 2010
- 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 | 5261 | FL | Primary |
Addresses
Primary practice location
2517 Rio Grande Dr
Punta Gorda, FL 33950-6313
Mailing address
2517 Rio Grande Dr
Punta Gorda, FL 33950-6313
Phone (941) 223-9365
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 |
|---|---|---|---|
| 5261 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1831405661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 RIO GRANDE DR",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339506313",
"telephone_number": "941-223-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 RIO GRANDE DR",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339506313",
"telephone_number": "941-223-9365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENHAUER",
"first_name": "JOSEPH",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-31",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "5261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.