NPIMap

Organization Active NPI

Active Performance Chiropractic

  • Chiropractor
  • Plains, PA
National Provider Identifier
1104095173
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009871 Issued in PA
Legal business name
ACTIVE PERFORMANCE CHIROPRACTIC
Practice address
3 N River St
Suite 104
Plains, PA 18705-1334
Phone
(866) 793-9788
Fax
(877) 587-4487
NPI assigned
Feb 25, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Laura B Bovee, D.C.NPI 1184828014
Title
General Partner
Phone
(570) 814-5593

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

Practitioners 2

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC009871 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

3 N River St
Suite 104
Plains, PA 18705-1334

Mailing address

3 N River St
Suite 104
Plains, PA 18705-1334
Phone (866) 793-9788

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 2, 2008.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1104095173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 N RIVER ST",
            "address_2": "SUITE 104",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051334",
            "telephone_number": "866-793-9788",
            "fax_number": "877-587-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 N RIVER ST",
            "address_2": "SUITE 104",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051334",
            "telephone_number": "866-793-9788",
            "fax_number": "877-587-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE PERFORMANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "BOVEE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "570-814-5593",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.