Organization Active NPI

Wilmington Chiropractic Health Center LLC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1275649030
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2004211645 Issued in DE
Legal business name
WILMINGTON CHIROPRACTIC HEALTH CENTER LLC
Practice address
910 N Union St Ste 3
Wilmington, DE 19805-5334
Phone
(302) 454-1230
Fax
(302) 454-5855
NPI assigned
Aug 22, 2006
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Dr. Stacy Scott Cohen, D.C.NPI 1144231697
Title
President
Phone
(302) 454-1200

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
Chiropractor 111N00000X 2004211645 DE Primary

Addresses

Primary practice location

910 N Union St Ste 3
Wilmington, DE 19805-5334

Mailing address

1536 Kirkwood Highway
Newark, DE 19711
Phone (302) 575-8330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050207000822 DE Part B Supplier - Clinic/Group Practice 9830140888 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

910 N Union St
Ste 3
Wilmington, DE 19805
Phone (302) 454-1230

Practitioners & affiliated clinicians

Practitioners 5

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1275649030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 KIRKWOOD HIGHWAY",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "302-575-8330",
            "fax_number": "302-575-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N UNION ST STE 3",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198055334",
            "telephone_number": "302-454-1230",
            "fax_number": "302-454-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON CHIROPRACTIC HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-454-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "2004211645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.