Organization Active NPI

Struble Chiropractic LLC

Doing business as Back in Action Chiropractic Center

  • Chiropractor
  • Hammonton, NJ
National Provider Identifier
1205610581
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STRUBLE CHIROPRACTIC LLC
Doing business as
Back in Action Chiropractic Center
Practice address
240 S White Horse Pike Ste B-4
Hammonton, NJ 08037-1156
Phone
(609) 432-7974
NPI assigned
Aug 21, 2023
Last updated
Aug 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Dr. Stephen P Struble Jr., DCNPI 1003436221
Title
Doctor/Owner
Phone
(609) 432-7974

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 Primary

Addresses

Primary practice location

240 S White Horse Pike Ste B-4
Hammonton, NJ 08037-1156

Mailing address

240 S White Horse Pike Ste B-4
Hammonton, NJ 08037-1156
Phone (609) 432-7974

Other names 1

  • Back in Action Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231101000040 NJ Part B Supplier - Clinic/Group Practice 7517313257 Receives reassigned benefits from 1 practitioner
Practice locations: Hammonton, NJ

National Provider Directory

National Provider Directory

Locations

240 S White Horse Pike
Ste B4
Hammonton, NJ 08037
Phone (609) 432-7974

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": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1205610581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S WHITE HORSE PIKE STE B-4",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371156",
            "telephone_number": "609-432-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S WHITE HORSE PIKE STE B-4",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371156",
            "telephone_number": "609-432-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUBLE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "STRUBLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "609-432-7974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back in Action Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.