Individual provider Active NPI

Arthur Nemchenko, DC

  • Chiropractor
  • Wayne, PA
National Provider Identifier
1043210610
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8708 Issued in PA
Practice address
992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803
Phone
(610) 337-7463
Fax
(610) 337-9505
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8708 PA Primary

Addresses

Primary practice location

992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803

Mailing address

992 Old Eagle School Rd
Suite 902
Wayne, PA 19087-1803
Phone (610) 337-7463

Other identifiers 1

IdentifierTypeStateIssuer
1332274OtherPABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8708PAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1043210610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 OLD EAGLE SCHOOL RD",
            "address_2": "SUITE 902",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871803",
            "telephone_number": "610-337-7463",
            "fax_number": "610-337-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 OLD EAGLE SCHOOL RD",
            "address_2": "SUITE 902",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871803",
            "telephone_number": "610-337-7463",
            "fax_number": "610-337-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMCHENKO",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "8708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1332274",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.