Organization Active NPI

Advanced Chiropractic & Rehab Center Association

  • Chiropractor
  • Ambler, PA
National Provider Identifier
1457977472
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCED CHIROPRACTIC & REHAB CENTER ASSOCIATION
Practice address
930 Susquehanna Road
Ambler, PA 19002-3760
Phone
(267) 357-5588
NPI assigned
Jun 25, 2020
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Ms. Lauren Lee
Title
Human Resources
Phone
(267) 357-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

930 Susquehanna Road
Ambler, PA 19002-3760

Mailing address

930 Susquehanna Rd
Ambler, PA 19002-3760
Phone (267) 342-6161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210304000833 PA Part B Supplier - Clinic/Group Practice 4385050012 Receives reassigned benefits from 2 practitioners
Practice locations: Ambler, PA

National Provider Directory

National Provider Directory

Locations

930 Susquehanna Rd
Ambler, PA 19002
Phone (215) 542-7171

Practitioners & affiliated clinicians

Practitioners 2

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": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1457977472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SUSQUEHANNA RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023760",
            "telephone_number": "267-342-6161",
            "fax_number": "267-573-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUSQUEHANNA ROAD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190023760",
            "telephone_number": "267-357-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC & REHAB CENTER ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "267-357-5588",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.