Organization Active NPI

Corporate Chiropractic

  • Chiropractor
  • Havertown, PA
National Provider Identifier
1003944802
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004659L Issued in PA
Legal business name
CORPORATE CHIROPRACTIC
Practice address
35 W Eagle Rd
Havertown, PA 19083-2204
Phone
(610) 853-9000
Fax
(610) 626-4554
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Todd Clifford May, D.C.NPI 1619024155
Title
President
Phone
(610) 853-9000

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 DC004659L PA Primary

Addresses

Primary practice location

35 W Eagle Rd
Havertown, PA 19083-2204

Mailing address

35 W Eagle Rd
Havertown, PA 19083-2204
Phone (610) 853-9000

Other identifiers 2

IdentifierTypeStateIssuer
001780806OtherPAHIGHMARK BLUE SHIELD
1780806OtherPAINDEPENDENCE BLUE CROSS

National Provider Directory

National Provider Directory

Locations

2401 Pennsylvania Ave
Ste 1A7
Philadelphia, PA 19130
Phone (215) 232-3003

Practitioners & affiliated clinicians

Practitioners 1

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1003944802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832204",
            "telephone_number": "610-853-9000",
            "fax_number": "610-626-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832204",
            "telephone_number": "610-853-9000",
            "fax_number": "610-626-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-853-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004659L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001780806",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "1780806",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.