NPIMap

Organization Active NPI

Upper Cervical Chiropractic Neurology Center, LLC

Doing business as Upper Cervical Chiropractic Neurology Center

  • Chiropractor
  • Downingtown, PA
National Provider Identifier
1033583810
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
UPPER CERVICAL CHIROPRACTIC NEUROLOGY CENTER, LLC
Doing business as
Upper Cervical Chiropractic Neurology Center
Practice address
533 W Uwchlan Ave
Suite 101
Downingtown, PA 19335-1763
Phone
(484) 593-0328
Fax
(484) 593-0440
NPI assigned
Nov 17, 2015
Last updated
Jan 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Dr. Jon Jay Moser, D.C.NPI 1740220912
Title
Owner
Phone
(484) 592-0328

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

533 W Uwchlan Ave
Suite 101
Downingtown, PA 19335-1763

Mailing address

533 W Uwchlan Ave
Suite 101
Downingtown, PA 19335-1763
Phone (484) 593-0328

Other names 1

  • Upper Cervical Chiropractic Neurology Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223000073 PA Part B Supplier - Clinic/Group Practice 7517262967 Receives reassigned benefits from 3 practitioners
Practice locations: Downingtown, PA; Gap, PA

National Provider Directory

National Provider Directory

Locations

533 W Uwchlan Ave
Ste 101
Downingtown, PA 19335
Phone (484) 593-0328

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1033583810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W UWCHLAN AVE",
            "address_2": "SUITE 101",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351763",
            "telephone_number": "484-593-0328",
            "fax_number": "484-593-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W UWCHLAN AVE",
            "address_2": "SUITE 101",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351763",
            "telephone_number": "484-593-0328",
            "fax_number": "484-593-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CERVICAL CHIROPRACTIC NEUROLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-592-0328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Cervical Chiropractic Neurology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.