West Philly Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC004883L Issued in PA

Legal business name

WEST PHILLY CHIROPRACTIC, LLC

Practice address

5201 Wynnefield Ave
Phila, PA 19131-2456

Phone

(267) 292-9200

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Larry Segal, DC

Title

Chiropractor

Phone

(215) 782-1394

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• HEALTHBRIDGE CHIROPRACTIC Doing business as

Practitioners 1

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

• Jean H Fontaine, D.C.

  • Rehabilitation Chiropractor
  • Philadelphia, PA
  • NPI 1891804498
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1174853147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WYNNEFIELD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312456",
            "telephone_number": "267-292-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WYNNEFIELD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191312456",
            "telephone_number": "267-292-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PHILLY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "215-782-1394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004883L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285748533",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386758647",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447235288",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770697633",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHBRIDGE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renise Dene Welbon, M.ED.
• Gregory U Welcome, BA
• Weldon LTD
• Christine Marie Weldon, O.D.
• Alexis Wenger
• West Village Pharmacy Inc
• Melissa West, LBS
• Jeneen Whaley, LCSW
• Jacqueline Wheeler-Coleman, M.D., MSPH
• Sheryl L White, PTA

• Chiropractor in Phila, PA
• Providers in Phila, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.