Active NPI
Laura J Wood, DC
- Chiropractor
- Glenside, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-006418 L
- Practice address
- 711 Bethlehem Pike
Second Floor
Glenside, PA 19038-8114 - Phone
- (215) 836-1766
- Fax
- (215) 836-1757
- NPI assigned
- Oct 18, 2006
- Last updated
- Dec 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-006418 L | PA | Primary |
Addresses
Primary practice location
711 Bethlehem Pike
Second Floor
Glenside, PA 19038-8114
Mailing address
711 Bethlehem Pike
Second Floor
Glenside, PA 19038-8114
Phone (215) 836-1766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1408 Bethlehem Pike
Flourtown, PA 19031-2004
Phone (215) 836-1766
1408 Bethlehem Pike Back BLDG
Erdenheim Chiropractic
Flourtown, PA 19031-2004
Phone (215) 836-1766
1501 Paper Mill Rd
Glenside, PA 19038-7029
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-006418 L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drljw Inc. | Chiropractor | Current | Accepting new patients |
Locations
1408 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 836-1766
1408 Bethlehem Pike
#B
Flourtown, PA 19031
Phone (215) 836-1766
711 Bethlehem Pike
Ste 2
Glenside, PA 19038
Phone (215) 836-1766
Organizations & group practices 1
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.
-
- Chiropractor
- Glenside, PA
- NPI 1447331061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1033290648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 BETHLEHEM PIKE",
"address_2": "SECOND FLOOR",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190388114",
"telephone_number": "215-836-1766",
"fax_number": "215-836-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 BETHLEHEM PIKE",
"address_2": "SECOND FLOOR",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190388114",
"telephone_number": "215-836-1766",
"fax_number": "215-836-1757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "LAURA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-006418 L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenside, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.