NPIMap

Organization Active NPI

Mountain Chiropractic Center LLC

  • Chiropractor
  • Warren, NJ
National Provider Identifier
1487936951
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00441700 Issued in NJ
Legal business name
MOUNTAIN CHIROPRACTIC CENTER LLC
Practice address
31 C Mountain Boulevard
Warren, NJ 07059-5617
Phone
(908) 561-2323
Fax
(908) 561-3434
NPI assigned
Sep 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Dr. Harold Kevanian, D.C.NPI 1447335203
Title
Owner / President
Phone
(908) 561-2323

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 38MC00441700 NJ Primary

Addresses

Primary practice location

31 C Mountain Boulevard
Warren, NJ 07059-5617

Mailing address

31 C Mountain Boulevard
Warren, NJ 07059-5617
Phone (908) 561-2323

National Provider Directory

National Provider Directory

Locations

31 Mountain Blvd
Bldg C
Warren, NJ 07059
Phone (908) 561-2323

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": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1487936951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 C MOUNTAIN BOULEVARD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595617",
            "telephone_number": "908-561-2323",
            "fax_number": "908-561-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 C MOUNTAIN BOULEVARD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595617",
            "telephone_number": "908-561-2323",
            "fax_number": "908-561-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "KEVANIAN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "908-561-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00441700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.