Civil Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC05095 Issued in NJ

Legal business name

CIVIL CHIROPRACTIC LLC

Practice address

414 State RT 515
Vernon, NJ 07462-3027

Phone

(973) 764-6800

Fax

(973) 764-6800

NPI assigned

Jun 20, 2007

Last updated

Jan 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Civil, D.C.NPI 1578542288

Title

Owner

Phone

(973) 764-6800

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Civil, D.C.

  • Chiropractor
  • Vernon, NJ
  • NPI 1578542288
  NPD (past) Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1184829970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 STATE ROUTE 515",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623027",
            "telephone_number": "973-764-6800",
            "fax_number": "973-764-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 STATE RT 515",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623027",
            "telephone_number": "973-764-6800",
            "fax_number": "973-764-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVIL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "CIVIL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-764-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC05095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Dentistry of Vernon LLC
• Erica Chambers, PHARMD
• Jeffrey Chien, PHARMD
• Joshua Seungju Chung, D.M.D.
• Dominic Caesar Cirigliano, D.C.
• Patricia Civil, D.C.
• Evan Conquest, OTR/L
• Laura Ann Covucci, D.D.S.
• Mary Crockford
• Paul Brian Crowley, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.