Active NPI
Ahmad Adil Ansari, D.C.
- Chiropractor
- Philadelphia, PA
National Provider Identifier
1366777815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009719
- Practice address
- 4607 N Broad St
Philadelphia, PA 19140-1217 - Phone
- (215) 329-6136
- NPI assigned
- Oct 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009719 | PA | Primary |
Addresses
Primary practice location
4607 N Broad St
Philadelphia, PA 19140-1217
Mailing address
13109 Bustleton Ave
Apt C-20
Philadelphia, PA 19116-1647
Phone (248) 703-3342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC009719 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Wellness Group PLLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Sterling Heights, MI
- NPI 1275681488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1366777815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13109 BUSTLETON AVE",
"address_2": "APT C-20",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191161647",
"telephone_number": "248-703-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4607 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191401217",
"telephone_number": "215-329-6136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSARI",
"first_name": "AHMAD",
"middle_name": "ADIL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009719",
"primary": true
}
],
"identifiers": [],
"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 Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.