Keystone Specific Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010666 Issued in PA

Legal business name

KEYSTONE SPECIFIC CHIROPRACTIC CENTER PC

Practice address

676 Old Swede Rd
Douglassville, PA 19518-9661

Phone

(610) 914-9319

NPI assigned

Jun 12, 2014

Last updated

Jun 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William A. MossNPI 1346650603

Title

Chiropractor/Owner

Phone

(610) 914-9319

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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.

• William Moss, D.C.

  • Chiropractor
  • Douglassville, PA
  • NPI 1346650603
  Medicare reassignment Authorized official
• Dalton James Becker, DC

  • Chiropractor
  • Tampa, FL
  • NPI 1275280430

  PA

  Medicare reassignment
• Ariel Lee Hellein, DC

  • Chiropractor
  • Wyomissing, PA
  • NPI 1962033977
  NPD

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1467866087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 OLD SWEDE RD",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195189661",
            "telephone_number": "610-914-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 OLD SWEDE RD",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195189661",
            "telephone_number": "610-914-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE SPECIFIC CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "610-914-9319",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Jaindl-Lozenski, RPH
• Kellie Jamin, PA-C
• Just Living Healthcare LLC
• Rachel Kemmerer, MA, BCBA
• Heather Key
• Risha Khetarpal, MD
• Nicole C King, LSW
• Amy Kline, MSPT
• Matthew Eric Korea, DC
• Chelsey Korhonen

• Chiropractor in Douglassville, PA
• Providers in Douglassville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.