Organization Active NPI

Julie Madeira Chiropractic, P.C.

  • Pediatric Chiropractor
  • Camp Hill, PA
National Provider Identifier
1164740379
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
DC006410L Issued in PA
Legal business name
JULIE MADEIRA CHIROPRACTIC, P.C.
Practice address
2507 Gettysburg Rd
Camp Hill, PA 17011-7308
Phone
(717) 766-9700
Fax
(717) 909-6870
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Dr. Julie Madeira Niedwick, D.C.NPI 1992839070
Title
Chiropractor
Phone
(717) 766-9700

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)CodeLicenseStatePrimary
Pediatric ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NP0017X DC006410L PA Primary

Addresses

Primary practice location

2507 Gettysburg Rd
Camp Hill, PA 17011-7308

Mailing address

2507 Gettysburg Rd
Camp Hill, PA 17011-7308
Phone (717) 766-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100716000345 PA Part B Supplier - Clinic/Group Practice 0547392193 Receives reassigned benefits from 1 practitioner
Practice locations: Mechanicsburg, PA

National Provider Directory

National Provider Directory

Locations

2106 Aspen Dr
Mechanicsburg, PA 17055
Phone (717) 691-9683

2507 Old Gettysburg Rd
Shiremanstown, PA 17011
Phone (717) 586-6416

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1164740379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 GETTYSBURG RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117308",
            "telephone_number": "717-766-9700",
            "fax_number": "717-909-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 GETTYSBURG RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117308",
            "telephone_number": "717-766-9700",
            "fax_number": "717-909-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE MADEIRA CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "NIEDWICK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MADEIRA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "717-766-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "PA",
            "license": "DC006410L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.

Verify at the official NPI Registry.