Organization Active NPI

Wellspine Chiropractic, PLLC

  • Chiropractor
  • Harrisburg, PA
National Provider Identifier
1487020624
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
010794 Issued in PA
Legal business name
WELLSPINE CHIROPRACTIC, PLLC
Practice address
4400 Linglestown Rd
108
Harrisburg, PA 17112-8507
Phone
(717) 500-1203
Fax
(717) 406-1567
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Matthew Richardson, DC
Title
Owner
Phone
(717) 500-1203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 010794 PA Primary

Addresses

Primary practice location

4400 Linglestown Rd
108
Harrisburg, PA 17112-8507

Mailing address

4400 Linglestown Rd
108
Harrisburg, PA 17112-8507
Phone (717) 500-1203

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1487020624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 LINGLESTOWN RD",
            "address_2": "108",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171128507",
            "telephone_number": "717-500-1203",
            "fax_number": "717-406-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 LINGLESTOWN RD",
            "address_2": "108",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171128507",
            "telephone_number": "717-500-1203",
            "fax_number": "717-406-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPINE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-500-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "010794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.