Organization Active NPI

Pyne Chiropractic, P.a.

  • Chiropractor
  • Lewes, DE
National Provider Identifier
1306044698
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-000572 Issued in DE
Legal business name
PYNE CHIROPRACTIC, P.A.
Practice address
17252 N Village Main Blvd
Suite #14-16
Lewes, DE 19958-6292
Phone
(302) 644-1792
Fax
(302) 644-1793
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Dr. David Matthew Pyne, D.C.NPI 1013988419
Title
Chiropractor
Phone
(302) 644-1792

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 F1-000572 DE Primary

Addresses

Primary practice location

17252 N Village Main Blvd
Suite #14-16
Lewes, DE 19958-6292

Mailing address

65 Bryan Dr
Rehoboth Beach, DE 19971-9732
Phone (302) 644-1792

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041015000822 DE Part B Supplier - Clinic/Group Practice 3678533395 Receives reassigned benefits from 1 practitioner
Practice locations: Rehoboth Beach, DE

National Provider Directory

National Provider Directory

Locations

17252 N Village Main Blvd
Unit 11
Lewes, DE 19958
Phone (302) 644-1792

17252 N Village Main Blvd
Ste 1416
Lewes, DE 19958
Phone (302) 644-1792

Practitioners & affiliated clinicians

Practitioners 1

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1306044698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BRYAN DR",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199719732",
            "telephone_number": "302-644-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17252 N VILLAGE MAIN BLVD",
            "address_2": "SUITE #14-16",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586292",
            "telephone_number": "302-644-1792",
            "fax_number": "302-644-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYNE CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "PYNE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "302-644-1792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-000572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.