Active NPI
Avenue Chiropractic Center
- Chiropractor
- Philadelphia, PA
National Provider Identifier
1265690937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC005012L
- Legal business name
- AVENUE CHIROPRACTIC CENTER
- Practice address
- 6233 Frankford Ave
Philadelphia, PA 19135-3404 - Phone
- (215) 338-4132
- NPI assigned
- May 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Annemarie Muldoon, D.C.
- Title
- Chiropractor
- Phone
- (215) 338-4132
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC005012L | PA | Primary |
Addresses
Primary practice location
6233 Frankford Ave
Philadelphia, PA 19135-3404
Mailing address
6233 Frankford Ave
Philadelphia, PA 19135-3404
Phone (215) 338-4132
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000857580 | Other | PA | HIGHMARK |
| 1088197 | Other | PA | AETNA HMO |
| 0964085000 | Other | PA | PERSONAL CHOICE |
| 4572327 | Other | PA | AETNA PPO |
| 0964085000 | Other | PA | KEYSTONE HPE |
National Provider Directory
National Provider DirectoryLocations
6233 Frankford Ave
Philadelphia, PA 19135
Phone (215) 338-4132
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Philadelphia, PA
- NPI 1699822429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1265690937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6233 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191353404",
"telephone_number": "215-338-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6233 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191353404",
"telephone_number": "215-338-4132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVENUE CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "MULDOON",
"authorized_official_first_name": "ANNEMARIE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "215-338-4132",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC005012L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "000857580",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1088197",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0964085000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4572327",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HPE",
"identifier": "0964085000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.