Organization Active NPI

Frazer Family Chiropractic and Wellness Center, LLC

  • Chiropractor
  • Upper Darby, PA
National Provider Identifier
1275731887
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008991 Issued in PA
Legal business name
FRAZER FAMILY CHIROPRACTIC AND WELLNESS CENTER, LLC
Practice address
7200 Chestnut St
Suite 101
Upper Darby, PA 19082-3125
Phone
(610) 887-0100
Fax
(610) 887-0109
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Mr. Nirav S Patel, DC
Title
Chiropractor Owner
Phone
(610) 887-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC008991 PA Primary

Addresses

Primary practice location

7200 Chestnut St
Suite 101
Upper Darby, PA 19082-3125

Mailing address

7200 Chestnut St
Suite 101
Upper Darby, PA 19082-3125
Phone (610) 887-0100

Other identifiers 2

IdentifierTypeStateIssuer
1559591OtherPAHIGHMARK
2255908000OtherPAIBC

National Provider Directory

National Provider Directory

Locations

7200 Chestnut St
Ste 101
Upper Darby, PA 19082
Phone (610) 887-0100

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1275731887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CHESTNUT ST",
            "address_2": "SUITE 101",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190823125",
            "telephone_number": "610-887-0100",
            "fax_number": "610-887-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CHESTNUT ST",
            "address_2": "SUITE 101",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190823125",
            "telephone_number": "610-887-0100",
            "fax_number": "610-887-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAZER FAMILY CHIROPRACTIC AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "610-887-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1559591",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2255908000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.