Organization Active NPI

Easton Family Chiropractic LLC

  • Chiropractor
  • Easton, PA
National Provider Identifier
1376922310
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010559 Issued in PA
Legal business name
EASTON FAMILY CHIROPRACTIC LLC
Practice address
702 Village at Stones Crossing Rd
Easton, PA 18045-5081
Phone
(610) 844-4080
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Dr. Greg KuleszaNPI 1548533995
Title
Chiropractor/Owner
Phone
(610) 844-4080

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC010559 PA Primary

Addresses

Primary practice location

702 Village at Stones Crossing Rd
Easton, PA 18045-5081

Mailing address

702 Village at Stones Crossing Rd
Easton, PA 18045-5081
Phone (610) 844-4080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150611001156 PA Part B Supplier - Clinic/Group Practice 8820319155 Receives reassigned benefits from 1 practitioner
Practice locations: Easton, PA

National Provider Directory

National Provider Directory

Locations

702 Village At Stones Crossing Rd
Easton, PA 18045
Phone (610) 844-4080

Practitioners & affiliated clinicians

Practitioners 1

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": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1376922310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 VILLAGE AT STONES CROSSING RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455081",
            "telephone_number": "610-844-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 VILLAGE AT STONES CROSSING RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455081",
            "telephone_number": "610-844-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTON FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "KULESZA",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "610-844-4080",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.

Verify at the official NPI Registry.