Organization Active NPI

Kentreblingdc

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1851756928
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6058 Issued in FL
Legal business name
KENTREBLINGDC
Practice address
11 SE 8TH St
Pompano Beach, FL 33060-8439
Phone
(954) 782-2066
Fax
(954) 782-2066
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Kent Richard Ebling, D.C.NPI 1013905223
Title
Chiropractic Physician
Phone
(954) 782-2066

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 CH6058 FL Primary

Addresses

Primary practice location

11 SE 8TH St
Pompano Beach, FL 33060-8439

Mailing address

11 SE 8TH St
Pompano Beach, FL 33060-8439
Phone (954) 782-2066

Other identifiers 1

IdentifierTypeStateIssuer
382273700MedicaidFL

National Provider Directory

National Provider Directory

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": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1851756928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SE 8TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608439",
            "telephone_number": "954-782-2066",
            "fax_number": "954-782-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SE 8TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608439",
            "telephone_number": "954-782-2066",
            "fax_number": "954-782-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTREBLINGDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "EBLING",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "954-782-2066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382273700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.