Organization Active NPI

Cara K. Hillwig, DC, LLC

Doing business as Queen Village Chiropractic & Nutrition

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1114972023
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008968 Issued in PA
Legal business name
CARA K. HILLWIG, DC, LLC
Doing business as
Queen Village Chiropractic & Nutrition
Practice address
512 S 4TH St
Philadelphia, PA 19147-1507
Phone
(215) 923-2448
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Cara K Hillwig, DCNPI 1922052638
Title
Chiropractor / Nutritionist
Phone
(215) 923-2448

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 DC008968 PA Primary

Addresses

Primary practice location

512 S 4TH St
Philadelphia, PA 19147-1507

Mailing address

512 S 4TH St
Philadelphia, PA 19147-1507

Other names 1

  • Queen Village Chiropractic & Nutrition Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806000980 PA Part B Supplier - Clinic/Group Practice 0446222863 Receives reassigned benefits from 1 practitioner
Practice locations: Haverford, PA

National Provider Directory

National Provider Directory

Locations

600 Haverford Rd
Ste 201
Haverford, PA 19041
Phone (267) 225-5225

512 S 4th St
Philadelphia, PA 19147
Phone (215) 923-2448

Practitioners & affiliated clinicians

Practitioners 2

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114972023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 S 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471507",
            "telephone_number": "215-923-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARA K. HILLWIG, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HILLWIG",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTOR / NUTRITIONIST",
        "authorized_official_telephone_number": "215-923-2448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen Village Chiropractic & Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.