Individual provider Active NPI

Stephen J Vernille, D.C.

  • Chiropractor
  • Wynnewood, PA
National Provider Identifier
1285727982
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005676L Issued in PA
Practice address
37 E Wynnewood Rd FL 2
Wynnewood, PA 19096-1917
Phone
(610) 658-2001
Fax
(610) 658-2703
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005676L PA Primary

Addresses

Primary practice location

37 E Wynnewood Rd FL 2
Wynnewood, PA 19096-1917

Mailing address

21335 Valley Forge Cir
King of Prussia, PA 19406-1122
Phone (610) 658-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DC005676LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back Strategies Inc Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1285727982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21335 VALLEY FORGE CIR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061122",
            "telephone_number": "610-658-2001",
            "fax_number": "610-658-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E WYNNEWOOD RD FL 2",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961917",
            "telephone_number": "610-658-2001",
            "fax_number": "610-658-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNILLE",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005676L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.