Organization Active NPI

Chiropractic and Acupunture Wellness Center

  • Chiropractor
  • Red Hill, PA
National Provider Identifier
1295972883
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009959 Issued in PA
Legal business name
CHIROPRACTIC AND ACUPUNTURE WELLNESS CENTER
Practice address
326 Main St
Red Hill, PA 18076-1459
Phone
(215) 679-5915
Fax
(215) 679-6467
NPI assigned
Jan 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Mr. Barry Ward Sauls, DCNPI 1548428105
Title
Owner
Phone
(215) 679-5915

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 DC009959 PA Primary

Addresses

Primary practice location

326 Main St
Red Hill, PA 18076-1459

Mailing address

326 Main St
Red Hill, PA 18076-1459
Phone (215) 679-5915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090820000348 PA Part B Supplier - Clinic/Group Practice 0749334076 Receives reassigned benefits from 2 practitioners
Practice locations: Red Hill, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1295972883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "city": "RED HILL",
            "state": "PA",
            "postal_code": "180761459",
            "telephone_number": "215-679-5915",
            "fax_number": "215-679-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "city": "RED HILL",
            "state": "PA",
            "postal_code": "180761459",
            "telephone_number": "215-679-5915",
            "fax_number": "215-679-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AND ACUPUNTURE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "SAULS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-679-5915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.