Active NPI
Southampton Chiropractic & Wellness Center, PC
- Chiropractor
- Southampton, PA
National Provider Identifier
1407004013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC006513L
- Legal business name
- SOUTHAMPTON CHIROPRACTIC & WELLNESS CENTER, PC
- Practice address
- 454 Second Street Pike
Southampton, PA 18966-3814 - Phone
- (215) 942-7990
- NPI assigned
- Sep 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher A Fiordaliso, DC
- Title
- Owner
- Phone
- (215) 942-7990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC006513L | PA | Primary |
Addresses
Primary practice location
454 Second Street Pike
Southampton, PA 18966-3814
Mailing address
454 Second Street Pike
Southampton, PA 18966-3814
Phone (215) 942-7990
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0872754000 | Other | PA | INDEPENDENCE BLUE CROSS |
| P913224 | Other | OXFORD | |
| 919212 | Other | PA | HIGHMARK |
| 0857457 | Other | PA | AETNA |
National Provider Directory
National Provider DirectoryLocations
454 2nd Street Pike
Southampton, PA 18966
Phone (215) 942-7990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220832000000",
"number": "1407004013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 SECOND STREET PIKE",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663814",
"telephone_number": "215-942-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 SECOND STREET PIKE",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663814",
"telephone_number": "215-942-7990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHAMPTON CHIROPRACTIC & WELLNESS CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A",
"authorized_official_last_name": "FIORDALISO",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-942-7990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC006513L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0872754000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P913224",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "919212",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0857457",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.