Organization Active NPI

Chestnut Hill Chiropractic PC

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1306807276
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-007036 Issued in PA
Legal business name
CHESTNUT HILL CHIROPRACTIC PC
Practice address
8618 Germantown Ave
1St Floor Rear
Philadelphia, PA 19118-2841
Phone
(215) 248-5460
NPI assigned
Mar 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Dr. Austin J Noonan, DC
Title
President
Phone
(215) 248-5460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-007036 PA Primary

Addresses

Primary practice location

8618 Germantown Ave
1St Floor Rear
Philadelphia, PA 19118-2841

Mailing address

8618 Germantown Ave
1St Floor Rear
Philadelphia, PA 19118-2841
Phone (215) 248-5460

Other identifiers 1

IdentifierTypeStateIssuer
01968539MedicaidPA

National Provider Directory

National Provider Directory

Locations

8618 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-5460

8618 Germantown Ave
Rear
Philadelphia, PA 19118
Phone (215) 248-5460

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1306807276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 GERMANTOWN AVE",
            "address_2": "1ST FLOOR REAR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182841",
            "telephone_number": "215-248-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 GERMANTOWN AVE",
            "address_2": "1ST FLOOR REAR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182841",
            "telephone_number": "215-248-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HILL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-30",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-248-5460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01968539",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.