NPIMap

Organization Active NPI

South Jersey Sports Chiropractic LLC

  • Chiropractor
  • Haddonfield, NJ
National Provider Identifier
1093250912
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00740500 Issued in NJ
Legal business name
SOUTH JERSEY SPORTS CHIROPRACTIC LLC
Practice address
56 N Haddon Ave
Haddonfield, NJ 08033-2438
Phone
(856) 240-7529
NPI assigned
Jan 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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

Authorized official

Name
Dr. Shane Francis McCann, D.C.
Title
Owner
Phone
(856) 240-7529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00740500 NJ Primary

Addresses

Primary practice location

56 N Haddon Ave
Haddonfield, NJ 08033-2438

Mailing address

56 N Haddon Ave
Haddonfield, NJ 08033-2438
Phone (856) 240-7529

National Provider Directory

National Provider Directory
Tax ID family
South Jersey Sports Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483315200000",
    "number": "1093250912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 N HADDON AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332438",
            "telephone_number": "856-240-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 N HADDON AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332438",
            "telephone_number": "856-240-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY SPORTS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-01-02",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-240-7529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00740500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.