Phillips Chiropractic Centre

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC001860 Issued in NJ

Legal business name

PHILLIPS CHIROPRACTIC CENTRE

Practice address

432 Ganttown Rd
Bunker Hill Ctr, Ste 106
Sewell, NJ 08080-1888

Phone

(856) 582-7707

Fax

(856) 582-8055

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

David Phillips, D.C.NPI 1619092897

Title

Owner

Phone

(853) 582-7707

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Phillips, D.C.

  • Chiropractor
  • Sewell, NJ
  • NPI 1619092897
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1164547352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 GANTTOWN RD",
            "address_2": "BUNKER HILL CTR, STE 106",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801888",
            "telephone_number": "856-582-7707",
            "fax_number": "856-582-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 GANTTOWN RD",
            "address_2": "BUNKER HILL CTR, STE 106",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801888",
            "telephone_number": "856-582-7707",
            "fax_number": "856-582-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS CHIROPRACTIC CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "853-582-7707",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC001860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Petkovic, APN
• Michelle Petrongolo, PSY.D., BCBA
• Thuyanh Ngoc Phan, N.P
• Pharmcierge
• Philadelphia Vamc
• David Phillips, D.C.
• Jerome R. Pietras, D.O.
• Amanda Courtney Pinkerton, OD
• Heather Pitman, OTR/L
• Alisa B Pittaluga, OT

• Chiropractor in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.