Active NPI
Natalie Mitlyansky D.C . P.C.
- Chiropractor
- Plymouth Meeting, PA
National Provider Identifier
1528257912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009099
- Legal business name
- NATALIE MITLYANSKY D.C . P.C.
- Practice address
- 1212 Germantown Pike
Suite 2
Plymouth Meeting, PA 19462-2466 - Phone
- (610) 277-3430
- Fax
- (610) 277-6452
- NPI assigned
- Oct 22, 2007
- Last updated
- Sep 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Natalie L Mitlyansky, DC
- Title
- Doctor of Chiropractic
- Phone
- (215) 942-4646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009099 | PA | Primary |
Addresses
Primary practice location
1212 Germantown Pike
Suite 2
Plymouth Meeting, PA 19462-2466
Mailing address
1212 Germantown Pike
Suite 2
Plymouth Meeting, PA 19462-2466
Phone (215) 942-4646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012695590002 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1212 Germantown Pike
Ste 2
Plymouth Meeting, PA 19462
Phone (610) 277-3430
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Farmington Hills, MI
- NPI 1508882069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1528257912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 GERMANTOWN PIKE",
"address_2": "SUITE 2",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622466",
"telephone_number": "215-942-4646",
"fax_number": "215-942-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 GERMANTOWN PIKE",
"address_2": "SUITE 2",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622466",
"telephone_number": "610-277-3430",
"fax_number": "610-277-6452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATALIE MITLYANSKY D.C . P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-22",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "MITLYANSKY",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "215-942-4646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012695590002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.