NPIMap

Organization Active NPI

Charles J Venezia Jr. DC PC

Doing business as Audubon Family Chiropractic

  • Chiropractor
  • Eagleville, PA
National Provider Identifier
1205028339
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHARLES J VENEZIA JR. DC PC
Doing business as
Audubon Family Chiropractic
Practice address
1032 S Park Ave
Eagleville, PA 19403-2038
Phone
(610) 650-7717
Fax
(610) 650-8070
NPI assigned
Aug 13, 2007
Last updated
Aug 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. Charles Joseph Venezia, D.C.NPI 1154490431
Title
Owner
Phone
(610) 650-7717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1032 S Park Ave
Eagleville, PA 19403-2038

Mailing address

1032 S Park Ave
Eagleville, PA 19403-2038
Phone (610) 650-7717

Other names 1

  • Audubon Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1205028339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 S PARK AVE",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194032038",
            "telephone_number": "610-650-7717",
            "fax_number": "610-650-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 S PARK AVE",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194032038",
            "telephone_number": "610-650-7717",
            "fax_number": "610-650-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J VENEZIA JR. DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "VENEZIA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-650-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audubon Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagleville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.