Organization Active NPI

Chiropractic Spine Center III

  • Chiropractor
  • Paoli, PA
National Provider Identifier
1255377164
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009121 Issued in PA
Legal business name
CHIROPRACTIC SPINE CENTER III
Practice address
1564 E Lancaster Ave
Paoli, PA 19301-1505
Phone
(610) 651-0234
Fax
(610) 651-0209
NPI assigned
Jun 20, 2006
Last updated
Jul 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. Lori Ann Kalie, D.C.
Title
Vice President Clinical Director
Phone
(610) 651-0234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC009121 PA Primary

Addresses

Primary practice location

1564 E Lancaster Ave
Paoli, PA 19301-1505

Mailing address

1564 E Lancaster Ave
Paoli, PA 19301-1505
Phone (610) 651-0234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1255377164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 E LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011505",
            "telephone_number": "610-651-0234",
            "fax_number": "610-651-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 E LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011505",
            "telephone_number": "610-651-0234",
            "fax_number": "610-651-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPINE CENTER III",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "KALIE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT  CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "610-651-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.