NPIMap

Organization Active NPI

Back & Neck Clinic of Exeter

  • Chiropractor
  • Birdsboro, PA
National Provider Identifier
1275731069
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005606L Issued in PA
Legal business name
BACK & NECK CLINIC OF EXETER
Practice address
160 Sunset Manor Dr
Birdsboro, PA 19508-1018
Phone
(610) 404-4442
Fax
(610) 404-1057
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William James Kelly, D.C.NPI 1689649402
Title
Owner
Phone
(610) 404-4442

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC005606L PA Primary

Addresses

Primary practice location

160 Sunset Manor Dr
Birdsboro, PA 19508-1018

Mailing address

160 Sunset Manor Dr
Birdsboro, PA 19508-1018
Phone (610) 404-4442

National Provider Directory

National Provider Directory

Locations

160 Sunset Manor Dr
Birdsboro, PA 19508
Phone (610) 404-4442

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275731069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SUNSET MANOR DR",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195081018",
            "telephone_number": "610-404-4442",
            "fax_number": "610-404-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SUNSET MANOR DR",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195081018",
            "telephone_number": "610-404-4442",
            "fax_number": "610-404-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK & NECK CLINIC OF EXETER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-404-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005606L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birdsboro, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.