Organization Active NPI

Harold K. Doe, Jr, D.C., PA

  • Chiropractor
  • Blackwood, NJ
National Provider Identifier
1013061852
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00124900 Issued in NJ
Legal business name
HAROLD K. DOE, JR, D.C., PA
Practice address
55 East Church Street
Blackwood, NJ 08012
Phone
(856) 227-5422
Fax
(856) 227-2952
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Harold Kenneth Doejr, D.C.
Title
Director
Phone
(856) 227-5422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00124900 NJ Primary

Addresses

Primary practice location

55 East Church Street
Blackwood, NJ 08012

Mailing address

55 East Church Street
Blackwood, NJ 08012
Phone (856) 227-5422

Other names 1

  • Blackwood Chiropractic Associates Other name

National Provider Directory

National Provider Directory

Locations

55 E Church St
Blackwood, NJ 08012
Phone (856) 227-5422

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1013061852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 EAST CHURCH STREET",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-227-5422",
            "fax_number": "856-227-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 EAST CHURCH STREET",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-227-5422",
            "fax_number": "856-227-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD K. DOE, JR, D.C., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "DOEJR",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-227-5422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00124900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackwood Chiropractic Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.