Organization Active NPI

Park Place Chiropractic, LLC

  • Chiropractor
  • Newark, DE
National Provider Identifier
1407918683
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F10000288 Issued in DE
Legal business name
PARK PLACE CHIROPRACTIC, LLC
Practice address
907 S College Ave
Newark, DE 19713-2303
Phone
(302) 368-0124
Fax
(302) 368-0183
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Ms. Doris Chan Leach
Title
VP
Phone
(302) 368-0124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F10000288 DE Primary

Addresses

Primary practice location

907 S College Ave
Newark, DE 19713-2303

Mailing address

907 S College Ave
Newark, DE 19713-2303
Phone (302) 368-0124

National Provider Directory

National Provider Directory

Locations

907 S College Ave
Newark, DE 19713
Phone (302) 368-0124

220 W Park Pl
Newark, DE 19711
Phone (302) 368-0124

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1407918683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S COLLEGE AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132303",
            "telephone_number": "302-368-0124",
            "fax_number": "302-368-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S COLLEGE AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132303",
            "telephone_number": "302-368-0124",
            "fax_number": "302-368-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "CHAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "302-368-0124",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F10000288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.