Individual provider Active NPI

Eric Brock Snider, D.C.

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1861501686
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8267 Issued in FL
Practice address
1899 N Congress Ave Ste 9
Boynton Beach, FL 33426-8215
Phone
(561) 731-3361
Fax
(561) 731-3374
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8267 FL Primary

Addresses

Primary practice location

1899 N Congress Ave Ste 9
Boynton Beach, FL 33426-8215

Mailing address

115 Harbors Way
Boynton Beach, FL 33435-2400
Phone (305) 979-4240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000753 FL Practitioner - Chiropractic 3072591833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8267FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Center PA Chiropractor CurrentSince Sep 23, 2024 Accepting new patients

Locations

7797 N University Dr
Ste 101
Tamarac, FL 33321
Phone (954) 722-6050

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1861501686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HARBORS WAY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334352400",
            "telephone_number": "305-979-4240",
            "fax_number": "561-731-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 N CONGRESS AVE STE 9",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268215",
            "telephone_number": "561-731-3361",
            "fax_number": "561-731-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "ERIC",
        "middle_name": "BROCK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.