Active NPI
Palmer Chiropractic Life Center, Inc
- Chiropractor
- New Castle, DE
National Provider Identifier
1154629079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- F1-0000268
- Legal business name
- PALMER CHIROPRACTIC LIFE CENTER, INC
- Practice address
- 1 Pleasant PL
New Castle, DE 19720-3005 - Phone
- (302) 328-2656
- Fax
- (302) 328-5870
- NPI assigned
- Mar 1, 2011
- 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
- Timothy S Palmer, DC
- Title
- Owner
- Phone
- (302) 328-2656
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 | F1-0000268 | DE | Primary |
Addresses
Primary practice location
1 Pleasant PL
New Castle, DE 19720-3005
Mailing address
1 Pleasant PL
New Castle, DE 19720-3005
Phone (302) 328-2656
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154629079 | Medicaid | DE | |
| 1598812067 | Medicaid | DE | |
| 561525 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
191 Christiana Rd
Ste 1
New Castle, DE 19720
Phone (302) 322-1794
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- New Castle, DE
- NPI 1598812067
-
- Chiropractor
- New Castle, DE
- NPI 1336996784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716508800000",
"number": "1154629079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PLEASANT PL",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197203005",
"telephone_number": "302-328-2656",
"fax_number": "302-328-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PLEASANT PL",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197203005",
"telephone_number": "302-328-2656",
"fax_number": "302-328-5870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMER CHIROPRACTIC LIFE CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-01",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "302-328-2656",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "DE",
"license": "F1-0000268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154629079",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598812067",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "561525",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Castle, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.