Active NPI
William M. Tsoubanos, D.C.P.C.
- Chiropractor
- Conshohocken, PA
National Provider Identifier
1053356576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC002450L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryNPI 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.