Organization Active NPI

DRS. Frisbee Family Chiropractic PA

  • Chiropractor
  • Fort Walton Beach, FL
National Provider Identifier
1982209367
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DRS. FRISBEE FAMILY CHIROPRACTIC PA
Practice address
119 Truxton Ave
Fort Walton Beach, FL 32547-2460
Phone
(850) 862-4313
Fax
(850) 863-1765
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Dr. Edward Frisbee, DCNPI 1407984917
Title
Doctor
Phone
(850) 862-4313

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 Primary

Addresses

Primary practice location

119 Truxton Ave
Fort Walton Beach, FL 32547-2460

Mailing address

119 Truxton Ave
Fort Walton Beach, FL 32547-2460
Phone (850) 862-4313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210107001886 FL Part B Supplier - Clinic/Group Practice 1658784863 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Walton Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1982209367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 TRUXTON AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472460",
            "telephone_number": "850-862-4313",
            "fax_number": "850-863-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TRUXTON AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472460",
            "telephone_number": "850-862-4313",
            "fax_number": "850-863-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. FRISBEE FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "FRISBEE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "850-862-4313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.