Organization Active NPI

Experience Chiropractic East, LLC

Doing business as Experience Chiropractic

  • Chiropractor
  • Conshohocken, PA
National Provider Identifier
1184102105
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EXPERIENCE CHIROPRACTIC EAST, LLC
Doing business as
Experience Chiropractic
Practice address
3038 Butler Pike
Conshohocken, PA 19428
Phone
(610) 337-7463
NPI assigned
Aug 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Maurie Carroll
Title
Practice Administrator
Phone
(610) 337-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X PA Primary

Addresses

Primary practice location

3038 Butler Pike
Conshohocken, PA 19428

Mailing address

3038 Butler Pike
Conshohocken, PA 19428-2115
Phone (610) 337-7463

Other names 1

  • Experience Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

3038 Butler Pike
Conshohocken, PA 19428
Phone (610) 337-7463

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": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1184102105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 BUTLER PIKE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282115",
            "telephone_number": "610-337-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3038 BUTLER PIKE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "610-337-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE CHIROPRACTIC EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "MAURIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "610-337-7463"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Experience Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Experience Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.