Organization Active NPI

Bella Vista Family Chiropractic, P.C.

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1497020010
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007773L Issued in PA
Legal business name
BELLA VISTA FAMILY CHIROPRACTIC, P.C.
Practice address
826 Christian St
Philadelphia, PA 19147-3947
Phone
(607) 235-0455
NPI assigned
Mar 14, 2012
Last updated
Mar 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Dr. David Martin, D.C.
Title
President
Phone
(607) 235-0455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC007773L PA Primary

Addresses

Primary practice location

826 Christian St
Philadelphia, PA 19147-3947

Mailing address

826 Christian St
Philadelphia, PA 19147-3947
Phone (607) 235-0455

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1497020010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 CHRISTIAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473947",
            "telephone_number": "607-235-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 CHRISTIAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473947",
            "telephone_number": "607-235-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-235-0455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007773L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.