Dr Peter D'Angelo

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC003929L Issued in PA

Legal business name

DR PETER D'ANGELO

Practice address

1638 W Passyunk Ave
Lower Level
Phila, PA 19145

Phone

(215) 551-7350

Fax

(215) 551-7430

NPI assigned

Nov 13, 2007

Last updated

Mar 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Anthony D'Angelo, D.C.NPI 1780756023

Title

President

Phone

(215) 551-7350

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Anthony D'Angelo, DC

  • Chiropractor
  • Philadelphia, PA
  • NPI 1780756023
  NPD Authorized official

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1316127822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 W PASSYUNK AVE",
            "address_2": "LOWER LEVEL",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19145",
            "telephone_number": "215-551-7350",
            "fax_number": "215-551-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 W PASSYUNK AVE",
            "address_2": "LOWER LEVEL",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19145",
            "telephone_number": "215-551-7350",
            "fax_number": "215-551-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PETER D'ANGELO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-551-7350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003929L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1271797",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Phila, PA
• Providers in Phila, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.