Organization Active NPI

Andrew N. Timar, DC LLC

  • Chiropractor
  • Phoenixville, PA
National Provider Identifier
1164965810
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009207 Issued in PA
Legal business name
ANDREW N. TIMAR, DC LLC
Doing business as
Phoenixville Chiropractic
Practice address
1220 Valley Forge Rd
Suite 5
Phoenixville, PA 19460-2676
Phone
(484) 924-8548
Fax
(484) 924-9748
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Dr. Andrew Nicholas Timar, DCNPI 1366512345
Title
Chiropractor/Owner
Phone
(484) 924-8548

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC009207 PA Primary

Addresses

Primary practice location

1220 Valley Forge Rd
Suite 5
Phoenixville, PA 19460-2676

Mailing address

1220 Valley Forge Rd
Suite 5
Phoenixville, PA 19460-2676
Phone (484) 924-8548

Other names 1

  • Phoenixville Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170330000523 PA Part B Supplier - Clinic/Group Practice 5294010427 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenixville, PA

National Provider Directory

National Provider Directory

Locations

1220 Valley Forge Rd
Ste 5
Phoenixville, PA 19460
Phone (484) 924-8548

Practitioners & affiliated clinicians

Practitioners 1

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": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1164965810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 VALLEY FORGE RD",
            "address_2": "SUITE 5",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602676",
            "telephone_number": "484-924-8548",
            "fax_number": "484-924-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 VALLEY FORGE RD",
            "address_2": "SUITE 5",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602676",
            "telephone_number": "484-924-8548",
            "fax_number": "484-924-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW N. TIMAR, DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "TIMAR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "484-924-8548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenixville Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.