Wine Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-003556-L Issued in PA

Legal business name

WINE CHIROPRACTIC CENTER

Practice address

905 S High St
West Chester, PA 19382-5416

Phone

(610) 429-3240

Fax

(610) 429-3240

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Darris Wine, D.C.NPI 1699715276

Title

President

Phone

(610) 429-3240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darris E. Wine, D.C.

  • Nutrition Chiropractor
  • West Chester, PA
  • NPI 1699715276
  Medicare reassignment NPD Authorized official
• Amy Bartosiak, LMT

  • Massage Therapist
  • West Chester, PA
  • NPI 1184255788
  NPD
• Celeste Anne Wine, D.C.

  • Rehabilitation Chiropractor
  • West Chester, PA
  • NPI 1093929614
  NPD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265646897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S HIGH ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825416",
            "telephone_number": "610-429-3240",
            "fax_number": "610-429-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S HIGH ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825416",
            "telephone_number": "610-429-3240",
            "fax_number": "610-429-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINE",
        "authorized_official_first_name": "DARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-429-3240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-003556-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Wilson, RD, LDN
• Michael A Wilson, DPT
• Sally W Wilson, LMFT,CAC
• McKenzie Winchester, MFT
• Nancy E Windle, CRNP
• Celeste Anne Wine, D.C.
• Darris E. Wine, D.C.
• Dylane Michelle Wineland, MS
• Judene W Wint-Martin, DNP, CRNP
• Angela Winter, PA-C

• Chiropractor in West Chester, PA
• Providers in West Chester, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.