Organization Active NPI

Dr. David W Nadler Assocpc

  • Chiropractor
  • Newtown Square, PA
National Provider Identifier
1093915340
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4569-L Issued in PA
Legal business name
DR. DAVID W NADLER ASSOCPC
Practice address
3475 W Chester Pike
Ste 140
Newtown Square, PA 19073-4280
Phone
(610) 353-3888
Fax
(610) 353-9863
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. David Wayne Nadler, D.C.NPI 1144285941
Title
Chiropractor
Phone
(610) 353-3888

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC4569-L PA Primary

Addresses

Primary practice location

3475 W Chester Pike
Ste 140
Newtown Square, PA 19073-4280

Mailing address

3475 W Chester Pike
Ste 140
Newtown Square, PA 19073-4280
Phone (610) 353-3888

Other identifiers 2

IdentifierTypeStateIssuer
2081396000OtherPAKEYSTONE
2081396000OtherPAPERSONAL CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120723000538 PA Part B Supplier - Clinic/Group Practice 6305002155 Receives reassigned benefits from 1 practitioner
Practice locations: Newtown Square, PA

National Provider Directory

National Provider Directory

Locations

3475 West Chester Pike
Ste 140
Newtown Square, PA 19073
Phone (610) 353-3888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1093915340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 W CHESTER PIKE",
            "address_2": "STE 140",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734280",
            "telephone_number": "610-353-3888",
            "fax_number": "610-353-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 W CHESTER PIKE",
            "address_2": "STE 140",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734280",
            "telephone_number": "610-353-3888",
            "fax_number": "610-353-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID W NADLER ASSOCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "NADLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "610-353-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC4569-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2081396000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2081396000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.