Individual provider Active NPI

Andrew Nicholas Timar, D.C.

  • Chiropractor
  • Phoenixville, PA
National Provider Identifier
1366512345
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009207 Issued in PA
Practice address
1220 Valley Forge Rd
Suite 5
Phoenixville, PA 19460-2676
Phone
(484) 924-8548
Fax
(484) 924-9748
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009207 PA Primary

Addresses

Primary practice location

1220 Valley Forge Rd
Suite 5
Phoenixville, PA 19460-2676

Mailing address

1220 Valley Forge Rd
Suite 5
Phoenixville, PA 19460-2676
Phone (484) 924-8548

Other identifiers 1

IdentifierTypeStateIssuer
814295743OtherPATAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000510 PA Practitioner - Chiropractic 5799764346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1220 Valley Forge Rd
Suite 5
Phoenixville, PA 19460-2676
Phone (484) 924-8548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew N. Timar, DC LLC Chiropractor CurrentSince Jan 1, 2017 Accepting new patients

Locations

1220 Valley Forge Rd
Ste 5
Phoenixville, PA 19460
Phone (484) 924-8548

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1366512345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 VALLEY FORGE RD",
            "address_2": "SUITE 5",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602676",
            "telephone_number": "484-924-8548",
            "fax_number": "484-924-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 VALLEY FORGE RD",
            "address_2": "SUITE 5",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602676",
            "telephone_number": "484-924-8548",
            "fax_number": "484-924-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMAR",
        "first_name": "ANDREW",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "814295743",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.