Organization Active NPI

Waitkevich Chiropractic, LLC

Doing business as Andrew Waitkevich, D.C

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1437398484
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009868 Issued in PA
Legal business name
WAITKEVICH CHIROPRACTIC, LLC
Doing business as
Andrew Waitkevich, D.C
Practice address
9251 Roosevelt Blvd
Philadelphia, PA 19114
Phone
(215) 969-2424
NPI assigned
Feb 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Authorized official

Name
Dr. Andrew Albin Waitkevich, D.CNPI 1972786499
Title
Chiropractor
Phone
(508) 873-5010

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 DC009868 PA Primary

Addresses

Primary practice location

9251 Roosevelt Blvd
Philadelphia, PA 19114

Mailing address

9251 Roosevelt Blvd
Philadelphia, PA 19114-2205
Phone (215) 969-2424

Other names 1

  • Andrew Waitkevich, D.C Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110613000206 PA Part B Supplier - Clinic/Group Practice 9436336807 Receives reassigned benefits from 1 practitioner
Practice locations: Yardley, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

301 Oxford Valley Rd
Ste 302B
Yardley, PA 19067
Phone (215) 969-2424

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": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1437398484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9251 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142205",
            "telephone_number": "215-969-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9251 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "215-969-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAITKEVICH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "WAITKEVICH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ALBIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "508-873-5010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrew Waitkevich, D.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 28, 2009; 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.