NPIMap

Organization Active NPI

Advanced Chiropractic Systems LLC

  • Nutrition Chiropractor
  • Milford, PA
National Provider Identifier
1346252004
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC006974-2 Issued in PA
Legal business name
ADVANCED CHIROPRACTIC SYSTEMS LLC
Practice address
113 7TH St
Lumberyard Shops
Milford, PA 18337-1234
Phone
(570) 409-9500
Fax
(570) 409-9505
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Deborah Marie Cassidy, D.C.NPI 1619949096
Title
Owner/Doctor
Phone
(570) 409-9500

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC008926 PA
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X DC006974-2 PA Primary

Addresses

Primary practice location

113 7TH St
Lumberyard Shops
Milford, PA 18337-1234

Mailing address

113 7TH St
Lumberyard Shops
Milford, PA 18337-1234
Phone (570) 409-9500

Other identifiers 1

IdentifierTypeStateIssuer
1775454OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

113 7th St
Milford, PA 18337
Phone (570) 208-2800

Practitioners & affiliated clinicians

Practitioners 2

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1346252004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 7TH ST",
            "address_2": "LUMBERYARD SHOPS",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371234",
            "telephone_number": "570-409-9500",
            "fax_number": "570-409-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 7TH ST",
            "address_2": "LUMBERYARD SHOPS",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371234",
            "telephone_number": "570-409-9500",
            "fax_number": "570-409-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "570-409-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008926",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "PA",
            "license": "DC006974-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1775454",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.