NPIMap

Organization Active NPI

West Philadelphia Pain Management Center

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1396258380
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004566L Issued in PA
Legal business name
WEST PHILADELPHIA PAIN MANAGEMENT CENTER
Practice address
5429 Chestnut St Ste G19
Philadelphia, PA 19139-3325
Phone
(215) 796-9003
Fax
(215) 596-0654
NPI assigned
Nov 13, 2017
Last updated
Jun 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Sharon Kristoff
Title
Office Manager
Phone
(215) 957-5400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004566L PA Primary
Physical Medicine & Rehabilitation Physician 208100000X MD067744L PA

Addresses

Primary practice location

5429 Chestnut St Ste G19
Philadelphia, PA 19139-3325

Mailing address

600 Louis Dr Ste 202
Warminster, PA 18974-2847
Phone (215) 957-5400

National Provider Directory

National Provider Directory

Locations

600 Louis Dr
Ste 202
Warminster, PA 18974
Phone (215) 957-5400

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1396258380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LOUIS DR STE 202",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742847",
            "telephone_number": "215-957-5400",
            "fax_number": "215-957-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 CHESTNUT ST STE G19",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393325",
            "telephone_number": "215-796-9003",
            "fax_number": "215-596-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PHILADELPHIA PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "KRISTOFF",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-957-5400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004566L",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD067744L",
            "primary": false
        }
    ],
    "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 Jun 9, 2022; 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.