American Clinic of Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

AMERICAN CLINIC OF CHIROPRACTIC

Practice address

1 E Beacon Light LN
Chester, PA 19013-4433

Phone

(267) 582-0056

NPI assigned

Nov 1, 2006

Last updated

Sep 7, 2023By 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

Charles J Grim

Title

Chiropractor/Owner

Phone

(267) 582-0056

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1043397037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "FOLSOM",
            "state": "PA",
            "postal_code": "190330115",
            "telephone_number": "267-582-0056",
            "fax_number": "610-490-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E BEACON LIGHT LN",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190134433",
            "telephone_number": "267-582-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "GRIM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "267-582-0056"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011570400003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Allen
• Carolina Gonzalez Alshon, MSW, LSW, CLC
• Ayshia Alston
• Frank O Amanze, CRNP
• Martin N/a Amaro, COTA
• Kieyannah Anderson
• Victoria M Anderson, BA
• Tana Andre, D.O.
• MD Ashik Ansar, M.D., PH.D
• Zaid Ansari, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.