Active NPI
Lehigh Valley Spinal Care Center
- Rehabilitation Chiropractor
- Walnutport, PA
National Provider Identifier
1275666232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC007463L
- Legal business name
- LEHIGH VALLEY SPINAL CARE CENTER
- Practice address
- 4450 W Mountain View Dr
Walnutport, PA 18088-9429 - Phone
- (610) 767-8888
- Fax
- (610) 760-8965
- NPI assigned
- Mar 13, 2007
- 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. Ross Buchieri, DC
- Title
- Owner
- Phone
- (610) 760-8888
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC007463L | PA | Primary |
Addresses
Primary practice location
4450 W Mountain View Dr
Walnutport, PA 18088-9429
Mailing address
4450 W Mountain View Dr
Walnutport, PA 18088-9429
Phone (610) 767-8888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659390128 | Other | PA | INDIVIDUAL NPI |
| 01734709 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4450 W Mountain View Dr
Walnutport, PA 18088
Phone (610) 760-8888
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
- Slatington, PA
- NPI 1659390128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255478400000",
"number": "1275666232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 W MOUNTAIN VIEW DR",
"city": "WALNUTPORT",
"state": "PA",
"postal_code": "180889429",
"telephone_number": "610-767-8888",
"fax_number": "610-760-8965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 W MOUNTAIN VIEW DR",
"city": "WALNUTPORT",
"state": "PA",
"postal_code": "180889429",
"telephone_number": "610-767-8888",
"fax_number": "610-760-8965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEHIGH VALLEY SPINAL CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2009-10-14",
"status": "A",
"authorized_official_last_name": "BUCHIERI",
"authorized_official_first_name": "ROSS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-760-8888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC007463L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1659390128",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01734709",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnutport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.