Organization Active NPI

Sell Chiropractic, P.C.

  • Chiropractor
  • Feasterville Trevose, PA
National Provider Identifier
1104016625
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009508 Issued in PA
Legal business name
SELL CHIROPRACTIC, P.C.
Practice address
229 Bustleton Pike
Feasterville Trevose, PA 19053-6448
Phone
(215) 942-2626
Fax
(215) 942-2628
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Dr. Stephen Michael Sell, D.C.NPI 1649318668
Title
Owner
Phone
(215) 942-2626

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 DC009508 PA Primary

Addresses

Primary practice location

229 Bustleton Pike
Feasterville Trevose, PA 19053-6448

Mailing address

229 Bustleton Pike
Feasterville Trevose, PA 19053-6448
Phone (215) 942-2626

Other identifiers 2

IdentifierTypeStateIssuer
2815342000OtherPAIBC GROUP ID
2633238000OtherPAIBC INDIVIDUAL ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071212000245 PA Part B Supplier - Clinic/Group Practice 0345330577 Receives reassigned benefits from 1 practitioner
Practice locations: Feasterville, PA

National Provider Directory

National Provider Directory

Locations

229 Bustleton Pike
Fstrvl Trvose, PA 19053
Phone (215) 942-2626

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": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1104016625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 BUSTLETON PIKE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536448",
            "telephone_number": "215-942-2626",
            "fax_number": "215-942-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 BUSTLETON PIKE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536448",
            "telephone_number": "215-942-2626",
            "fax_number": "215-942-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELL CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "SELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-942-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC GROUP ID",
            "identifier": "2815342000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC INDIVIDUAL ID",
            "identifier": "2633238000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.