NPIMap

Organization Active NPI

Middletown Chiropractic and Rehabilitation, Inc.

  • Rehabilitation Chiropractor
  • Middletown, DE
National Provider Identifier
1083059836
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
F1-0000721 Issued in DE
Legal business name
MIDDLETOWN CHIROPRACTIC AND REHABILITATION, INC.
Practice address
401 E Main St
Suite 4-B
Middletown, DE 19709-1491
Phone
(302) 376-5830
Fax
(302) 376-6517
NPI assigned
May 7, 2013
Last updated
May 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Dr. Trevor Kent Ennis, D.C.NPI 1316198005
Title
President
Phone
(302) 376-5830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X F1-0000721 DE Primary

Addresses

Primary practice location

401 E Main St
Suite 4-B
Middletown, DE 19709-1491

Mailing address

401 E Main St
Suite 4-B
Middletown, DE 19709-1491
Phone (302) 376-5830

National Provider Directory

National Provider Directory

Locations

401 E Main St
Ste 4B
Middletown, DE 19709
Phone (302) 376-5830

Practitioners & affiliated clinicians

Practitioners 5

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": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1083059836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "address_2": "SUITE 4-B",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091491",
            "telephone_number": "302-376-5830",
            "fax_number": "302-376-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "address_2": "SUITE 4-B",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091491",
            "telephone_number": "302-376-5830",
            "fax_number": "302-376-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN CHIROPRACTIC AND REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-376-5830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "DE",
            "license": "F1-0000721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.