Active NPI
Avondale Chiropractic PC
- Chiropractor
- Avondale, PA
National Provider Identifier
1326214420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004583L
- Legal business name
- AVONDALE CHIROPRACTIC PC
- Practice address
- 417 Pennsylvania Ave
Avondale, PA 19311-1120 - Phone
- (610) 268-8122
- Fax
- (610) 268-3103
- NPI assigned
- May 8, 2008
- Last updated
- Jul 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Shawn Duddy, DC
- Title
- Doctor
- Phone
- (610) 268-8122
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004583L | PA | Primary |
Addresses
Primary practice location
417 Pennsylvania Ave
Avondale, PA 19311-1120
Mailing address
417 Pennsylvania Ave
Avondale, PA 19311-1120
Phone (610) 268-8122
Other names 1
- Avondale Chiropractic Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
417 Pennsylvania Ave
Avondale, PA 19311
Phone (610) 268-8122
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Avondale, PA
- NPI 1487736914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752192000000",
"number": "1326214420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 PENNSYLVANIA AVE",
"city": "AVONDALE",
"state": "PA",
"postal_code": "193111120",
"telephone_number": "610-268-8122",
"fax_number": "610-268-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 PENNSYLVANIA AVE",
"city": "AVONDALE",
"state": "PA",
"postal_code": "193111120",
"telephone_number": "610-268-8122",
"fax_number": "610-268-3103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVONDALE CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-08",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A",
"authorized_official_last_name": "DUDDY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "SHAWN",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "610-268-8122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004583L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avondale Chiropractic Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Avondale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.