Individual provider Active NPI

Erik B Camac, DC

  • Chiropractor
  • Rehoboth Beach, DE
National Provider Identifier
1992398408
Registry record updated Feb 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F10011034 Issued in DE
Practice address
18585 Coastal Hwy Unit 26
Rehoboth Beach, DE 19971-6147
Phone
(302) 645-6681
Fax
(302) 645-6621
NPI assigned
Feb 16, 2021
Last updated
Feb 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F10011034 DE Primary

Addresses

Primary practice location

18585 Coastal Hwy Unit 26
Rehoboth Beach, DE 19971-6147

Mailing address

1536 Capitol TRL
Newark, DE 19711-5716
Phone (302) 454-1230

Other practice location 1

12100 Black Swan Dr Ste 103
Lewes, DE 19958-4991
Phone (302) 644-5750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220518000675 DE Practitioner - Chiropractic 8426435165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewes Chiropractic LLCGroup PAC ID 5496184657, 4 clinicians

Practice addresses (Care Compare)

12100 Black Swan Dr
Suite 103
Lewes, DE 19958-4991
Phone (302) 644-5750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F10011034DEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lewes Chiropractic LLC Chiropractor CurrentSince Mar 15, 2024 Accepting new patients
Midway Chiropractic, LLC Chiropractor CurrentSince Feb 6, 2023 Accepting new patients
First State Nutrition LLC PastSince Feb 6, 2023 Accepting new patients

Locations

12100 Black Swan Dr
Ste 103
Lewes, DE 19958
Phone (302) 644-5750

1536 Kirkwood Hwy
Newark, DE 19711
Phone (302) 454-1200

18585 Coastal Hwy
Unit 26
Rehoboth Beach, DE 19971
Phone (302) 645-6681

18585 Coastal Hwy
Unit 266
Rehoboth Beach, DE 19971

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1992398408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 CAPITOL TRL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115716",
            "telephone_number": "302-454-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18585 COASTAL HWY UNIT 26",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716147",
            "telephone_number": "302-645-6681",
            "fax_number": "302-645-6621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12100 Black Swan Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199584991",
            "country_code": "US",
            "telephone_number": "302-644-5750",
            "fax_number": "302-644-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMAC",
        "first_name": "ERIK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F10011034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.