Organization Active NPI

The Chiropractic & Injury Center of Langhorne, LLC

  • Chiropractor
  • Levittown, PA
National Provider Identifier
1104908235
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006617L Issued in PA
Legal business name
THE CHIROPRACTIC & INJURY CENTER OF LANGHORNE, LLC
Practice address
936 Woodbourne Rd
Levittown, PA 19057-1001
Phone
(215) 547-1998
Fax
(215) 547-3994
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Arthur Frezza, DCNPI 1952362873
Title
Chiropractor
Phone
(215) 547-1998

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 DC006617L PA Primary

Addresses

Primary practice location

936 Woodbourne Rd
Levittown, PA 19057-1001

Mailing address

PO Box 1039
Langhorne, PA 19047-6039
Phone (215) 547-1998

Other identifiers 2

IdentifierTypeStateIssuer
1469531OtherPAHIGHMARK BLUE CROSS
2173257000OtherPAINDEPENDENCE BLUE CROSS

Other names 1

  • The Chiropractic & Injury Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070314000081 PA Part B Supplier - Clinic/Group Practice 0840393716 Receives reassigned benefits from 1 practitioner
Practice locations: Langhorne, PA

National Provider Directory

National Provider Directory

Locations

936 Woodbourne Rd
Levittown, PA 19057
Phone (215) 547-1998

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104908235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1039",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190476039",
            "telephone_number": "215-547-1998",
            "fax_number": "215-547-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 WOODBOURNE RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571001",
            "telephone_number": "215-547-1998",
            "fax_number": "215-547-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHIROPRACTIC & INJURY CENTER OF LANGHORNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREZZA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "215-547-1998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006617L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "1469531",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2173257000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chiropractic & Injury Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.