Organization Active NPI

Lancaster Chiropractic Care LLC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1154085009
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LANCASTER CHIROPRACTIC CARE LLC
Practice address
2407 Lancaster Ave
Wilmington, DE 19805-3736
Phone
(856) 904-3061
Fax
(215) 332-8691
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dr. Tarak Navin Patel, DC
Title
Owner/Provider
Phone
(856) 904-3061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2407 Lancaster Ave
Wilmington, DE 19805-3736

Mailing address

2407 Lancaster Ave
Wilmington, DE 19805-3736
Phone (856) 904-3061

Other identifiers 2

IdentifierTypeStateIssuer
1036188000001MedicaidPA
1083056683OtherPAINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tpatel@mayfairchiro.com Direct

National Provider Directory

National Provider Directory

Locations

2407 Lancaster Ave
Wilmington, DE 19805
Phone (856) 904-3061

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1154085009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 LANCASTER AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053736",
            "telephone_number": "856-904-3061",
            "fax_number": "215-332-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 LANCASTER AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053736",
            "telephone_number": "856-904-3061",
            "fax_number": "215-332-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER CHIROPRACTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TARAK",
        "authorized_official_middle_name": "NAVIN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "856-904-3061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036188000001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1083056683",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpatel@mayfairchiro.com",
            "affiliation": "N",
            "endpointDescription": "Email to practice provider",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2407 Lancaster Ave",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198053736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.