Organization Active NPI

Allentown Chiropractic Center PC

  • Chiropractor
  • Allentown, PA
National Provider Identifier
1124097290
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001414L Issued in PA
Legal business name
ALLENTOWN CHIROPRACTIC CENTER PC
Practice address
1850 E Emmaus Avenue
Allentown, PA 18103-4422
Phone
(610) 791-1020
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Dr. Stephen L Kulik, DCNPI 1124132055
Title
President
Phone
(610) 791-1020

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 DC001414L PA Primary

Addresses

Primary practice location

1850 E Emmaus Avenue
Allentown, PA 18103-4422

Mailing address

1850 E Emmaus Avenue
Allentown, PA 18103-4422
Phone (610) 791-1020

Other identifiers 3

IdentifierTypeStateIssuer
02562200OtherCAPITAL BLUE CROSS
AL1327482OtherHIGHMARK BLUE SHIELD
0006361960001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040830000318 PA Part B Supplier - Clinic/Group Practice 0840265203 Receives reassigned benefits from 1 practitioner
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

1850 E Emmaus Ave
Allentown, PA 18103
Phone (610) 791-0120

419 State Ave
Emmaus, PA 18049
Phone (610) 421-8400

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1124097290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E EMMAUS AVENUE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181034422",
            "telephone_number": "610-791-1020",
            "fax_number": "610-791-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E EMMAUS AVENUE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181034422",
            "telephone_number": "610-791-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENTOWN CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "KULIK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-791-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001414L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02562200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "AL1327482",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006361960001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.