Active NPI
Andrew E Gottlieb, DC
- Chiropractor
- Exton, PA
National Provider Identifier
1134231699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004743L
- Practice address
- 30 N Village Ave
Exton, PA 19341-1211 - Phone
- (610) 458-7777
- Fax
- (610) 458-7908
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004743L | PA | Primary |
Addresses
Primary practice location
30 N Village Ave
Exton, PA 19341-1211
Mailing address
PO Box 795
Uwchland, PA 19480
Phone (610) 458-7777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00139115004 | Medicaid | PA | |
| 5931123 | Other | PA | AETNA PPO |
| 0508527000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1134231699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 795",
"city": "UWCHLAND",
"state": "PA",
"postal_code": "19480",
"telephone_number": "610-458-7777",
"fax_number": "610-458-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N VILLAGE AVE",
"city": "EXTON",
"state": "PA",
"postal_code": "193411211",
"telephone_number": "610-458-7777",
"fax_number": "610-458-7908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTLIEB",
"first_name": "ANDREW",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004743L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00139115004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5931123",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "0508527000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.