Organization Active NPI

Jack L. Epter D.C. P. a. Dba Epter Chiropractic

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1922376664
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00004296 Issued in FL
Legal business name
JACK L. EPTER D.C. P. A. DBA EPTER CHIROPRACTIC
Practice address
100 W Indiantown Rd
Jupiter, FL 33458-3530
Phone
(561) 575-4400
NPI assigned
Dec 8, 2011
Last updated
Dec 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Jack L. Epter, D. C.NPI 1821051699
Title
Pres
Phone
(561) 575-4400

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 CH00004296 FL Primary

Addresses

Primary practice location

100 W Indiantown Rd
Jupiter, FL 33458-3530

Mailing address

100 W Indiantown Rd
Jupiter, FL 33458-3530
Phone (561) 575-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120105000393 FL Part B Supplier - Clinic/Group Practice 9830365352 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Locations

100 W Indiantown Rd
Jupiter, FL 33458
Phone (407) 575-4400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1922376664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583530",
            "telephone_number": "561-575-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583530",
            "telephone_number": "561-575-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK L. EPTER D.C. P. A. DBA EPTER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "EPTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "561-575-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH00004296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.