NPIMap

Organization Active NPI

Dekalb Chiropractic Center

  • Chiropractor
  • Bridgeport, PA
National Provider Identifier
1124318803
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005203L Issued in PA
Legal business name
DEKALB CHIROPRACTIC CENTER
Practice address
106 Dekalb St
First Floor
Bridgeport, PA 19405-1056
Phone
(610) 272-4181
Fax
(610) 272-5313
NPI assigned
Apr 14, 2011
Last updated
Apr 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Dr. Ray S Abdallah, DCNPI 1952517401
Title
Owner
Phone
(610) 272-4181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005203L PA Primary

Addresses

Primary practice location

106 Dekalb St
First Floor
Bridgeport, PA 19405-1056

Mailing address

106 Dekalb St
First Floor
Bridgeport, PA 19405-1056
Phone (610) 272-4181

National Provider Directory

National Provider Directory

Locations

106 DeKalb St
Fl First
Bridgeport, PA 19405
Phone (610) 272-4181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1124318803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DEKALB ST",
            "address_2": "FIRST FLOOR",
            "city": "BRIDGEPORT",
            "state": "PA",
            "postal_code": "194051056",
            "telephone_number": "610-272-4181",
            "fax_number": "610-272-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DEKALB ST",
            "address_2": "FIRST FLOOR",
            "city": "BRIDGEPORT",
            "state": "PA",
            "postal_code": "194051056",
            "telephone_number": "610-272-4181",
            "fax_number": "610-272-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-272-4181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005203L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.