Individual provider Active NPI

Gregory Joseph Lattanzi, DC

  • Chiropractor
  • Blue Bell, PA
National Provider Identifier
1295464576
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011748 Issued in PA
Practice address
1717 Swede Rd Ste 106
Blue Bell, PA 19422-3372
Phone
(877) 946-4060
NPI assigned
Jun 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011748 PA Primary

Addresses

Primary practice location

1717 Swede Rd Ste 106
Blue Bell, PA 19422-3372

Mailing address

2920 Hannah Ave Apt H175
East Norriton, PA 19401-1554
Phone (484) 402-8094

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drglattanzi@thecommunitychiropractic.com Direct

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

State licenses

LicenseStateTypeSpecialty
DC011748PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Chiropractic LMC2 LLC Chiropractor CurrentSince Jan 14, 2024 Accepting new patients

Locations

1717 Swede Rd
Ste 106
Blue Bell, PA 19422
Phone (484) 688-0664

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1295464576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 HANNAH AVE APT H175",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011554",
            "telephone_number": "484-402-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SWEDE RD STE 106",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223372",
            "telephone_number": "877-946-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTANZI",
        "first_name": "GREGORY",
        "middle_name": "JOSEPH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drglattanzi@thecommunitychiropractic.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1717 Swede Rd Ste 106",
            "city": "Blue Bell",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194223372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.