Individual provider Active NPI

Guy Krishen, D.C.

  • Chiropractor
  • Upper Darby, PA
National Provider Identifier
1457775181
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
609196887 Issued in NY
Practice address
115 E Township Line Rd
Upper Darby, PA 19082-1019
Phone
(610) 624-4459
Fax
(610) 789-2627
NPI assigned
Feb 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 609196887 NY Primary

Addresses

Primary practice location

115 E Township Line Rd
Upper Darby, PA 19082-1019

Mailing address

115 E Township Line Rd
Upper Darby, PA 19082-1019
Phone (610) 624-4459

Other practice location 1

2 Chester Pike
Darby, PA 19023-2001
Phone (484) 494-9499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
609196887NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
JL Medical Consultants PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1457775181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E TOWNSHIP LINE RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821019",
            "telephone_number": "610-624-4459",
            "fax_number": "610-789-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E TOWNSHIP LINE RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821019",
            "telephone_number": "610-624-4459",
            "fax_number": "610-789-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Chester Pike",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190232001",
            "country_code": "US",
            "telephone_number": "484-494-9499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHEN",
        "first_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-17",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "609196887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.