Individual provider Active NPI

Joshua David Ebert, DC

  • Chiropractor
  • Manchester, NH
National Provider Identifier
1881873404
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
794-0807 Issued in NH
Practice address
1361 Elm St
Suite 200
Manchester, NH 03101-1324
Phone
(603) 206-4346
Fax
(603) 232-9267
NPI assigned
Oct 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 794-0807 NH Primary

Addresses

Primary practice location

1361 Elm St
Suite 200
Manchester, NH 03101-1324

Mailing address

1361 Elm St
Suite 200
Manchester, NH 03101-1324
Phone (603) 206-4346

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

LicenseStateTypeSpecialty
794-0807NHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Chiropractic LLC Chiropractor PastSince Apr 4, 2008 Accepting new patients

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": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1881873404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 ELM ST",
            "address_2": "SUITE 200",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011324",
            "telephone_number": "603-206-4346",
            "fax_number": "603-232-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 ELM ST",
            "address_2": "SUITE 200",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011324",
            "telephone_number": "603-206-4346",
            "fax_number": "603-232-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "794-0807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.