Active NPI
Lifeline Family Chiropractic
- Chiropractor
- Lansdale, PA
National Provider Identifier
1124243340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-005166-L
- Legal business name
- LIFELINE FAMILY CHIROPRACTIC
- Practice address
- 628 E Main St
Lansdale, PA 19446-2964 - Phone
- (215) 368-4222
- Fax
- (215) 368-8321
- NPI assigned
- Apr 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan D Wassermann, D.C.
- Title
- Owner
- Phone
- (215) 368-4222
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-005166-L | PA | Primary |
Addresses
Primary practice location
628 E Main St
Lansdale, PA 19446-2964
Mailing address
PO Box 711
Lansdale, PA 19446-0901
Phone (215) 368-4222
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891792701 | Other | PA | BLUE CROSS |
| 1891792701 | Other | PA | BLUE SHIELD |
| 2409794000 | Other | PA | KEYSTONE |
| 2409794000 | Other | PA | HIGHMARK |
| 2306381 | Other | PA | AETNA |
| 2409794000 | Other | PA | PERSONAL CHOICE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lansdale, PA
- NPI 1891792701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1124243340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194460901",
"telephone_number": "215-368-4222",
"fax_number": "215-368-8321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 E MAIN ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194462964",
"telephone_number": "215-368-4222",
"fax_number": "215-368-8321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE FAMILY CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-14",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "WASSERMANN",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-368-4222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-005166-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1891792701",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1891792701",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "2409794000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "2409794000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2306381",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "2409794000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.