Mt. Penn Chiropractic Center P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007452L Issued in PA

Legal business name

MT. PENN CHIROPRACTIC CENTER P C

Doing business as

The Spine and Wellness Center

Practice address

3933 Perkiomen Ave
Suite 101
Reading, PA 19606-2718

Phone

(610) 779-4588

Fax

(610) 779-8040

NPI assigned

Mar 19, 2007

Last updated

Dec 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick M. Borja, D.C.NPI 1982634713

Title

President

Phone

(610) 779-4588

Specialties & licenses 1

Addresses

Other names 1

• The Spine and Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

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.

• Patrick M Borja, D.C.

  • Chiropractor
  • Reading, PA
  • NPI 1982634713
  Medicare reassignment Care Compare group NPD Authorized official
• Tyler Rank, DC

  • Chiropractor
  • Reading, PA
  • NPI 1518438274
  Medicare reassignment Care Compare group NPD
• Charles Bucklar Jr., DC

  • Chiropractor
  • Reading, PA
  • NPI 1366416695
  Medicare reassignment NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1013031517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 PERKIOMEN AVE",
            "address_2": "SUITE 101",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062718",
            "telephone_number": "610-779-4588",
            "fax_number": "610-779-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 PERKIOMEN AVE",
            "address_2": "SUITE 101",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062718",
            "telephone_number": "610-779-4588",
            "fax_number": "610-779-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. PENN CHIROPRACTIC CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-779-4588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007452L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spine and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moxielink Tech LLC
• Gloria Y Moy, RN
• Tina M Moyer-Fuchs, CRNP
• Courtney Moyer
• Sharlene R Moyer, CRNA
• Daron K Mueller, PA-C
• Muhlenberg Area Ambulance Association Incorporated
• Aziza N Mukoya
• Dianne M Mulreaney, C.R.N.P.
• Kristina Mumma

• Chiropractor in Reading, PA
• Providers in Reading, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.