Organization Active NPI

William M. Tsoubanos, D.C.P.C.

  • Chiropractor
  • Conshohocken, PA
National Provider Identifier
1053356576
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002450L Issued in PA
Legal business name
WILLIAM M. TSOUBANOS, D.C.P.C.
Practice address
815 Fayette St
Conshohocken, PA 19428-1785
Phone
(610) 828-2500
Fax
(610) 834-7822
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Dr. William M. Tsoubanos, D.C.
Title
Owner,President
Phone
(610) 828-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC002450L PA Primary

Addresses

Primary practice location

815 Fayette St
Conshohocken, PA 19428-1785

Mailing address

6011 Sheaff LN
Fort Washington, PA 19034-1814
Phone (610) 476-9711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1053356576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 SHEAFF LN",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190341814",
            "telephone_number": "610-476-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FAYETTE ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281785",
            "telephone_number": "610-828-2500",
            "fax_number": "610-834-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M. TSOUBANOS, D.C.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "TSOUBANOS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER,PRESIDENT",
        "authorized_official_telephone_number": "610-828-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002450L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.