Organization Active NPI

Family Care Chiropractic Center, LLC

  • Chiropractor
  • Conway, PA
National Provider Identifier
1073566683
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009538 Issued in PA
Legal business name
FAMILY CARE CHIROPRACTIC CENTER, LLC
Practice address
1121 11TH St
1St Floor
Conway, PA 15027-1400
Phone
(724) 869-2167
Fax
(724) 869-2168
NPI assigned
May 18, 2006
Last updated
Dec 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Suzanne Marie Fleeson-Dasilva, D.C.NPI 1205806270
Title
Doctor
Phone
(724) 869-2167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009539 PA
Chiropractor 111N00000X DC009538 PA Primary

Addresses

Primary practice location

1121 11TH St
1St Floor
Conway, PA 15027-1400

Mailing address

1121 11TH St
1St Floor
Conway, PA 15027-1400
Phone (724) 869-2167

National Provider Directory

National Provider Directory

Locations

1121 11th St
#1
Conway, PA 15027
Phone (724) 869-2167

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1073566683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 11TH ST",
            "address_2": "1ST FLOOR",
            "city": "CONWAY",
            "state": "PA",
            "postal_code": "150271400",
            "telephone_number": "724-869-2167",
            "fax_number": "724-869-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 11TH ST",
            "address_2": "1ST FLOOR",
            "city": "CONWAY",
            "state": "PA",
            "postal_code": "150271400",
            "telephone_number": "724-869-2167",
            "fax_number": "724-869-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "FLEESON-DASILVA",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "724-869-2167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009539",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.