Blue Skies Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007899L Issued in PA

Legal business name

BLUE SKIES CHIROPRACTIC, PC

Practice address

3502 Scotts LN
A-13
Philadelphia, PA 19129-1561

Phone

(211) 844-8484

Fax

(215) 933-5232

NPI assigned

Mar 21, 2014

Last updated

Mar 21, 2014By 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

Dr. Ronald T. Merriel Jr., DCNPI 1760479232

Title

Chiropractor/Owner

Phone

(215) 844-8484

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ronald T. Merriel Jr., D.C.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1760479232
  Authorized official Same address or phone

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1043637622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 SCOTTS LANE",
            "address_2": "A-13",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19129",
            "telephone_number": "211-844-8484",
            "fax_number": "215-933-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 SCOTTS LN",
            "address_2": "A-13",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291561",
            "telephone_number": "211-844-8484",
            "fax_number": "215-933-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "MERRIEL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "215-844-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007899L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.