Organization Active NPI

Natalie Mitlyansky D.C . P.C.

  • Chiropractor
  • Plymouth Meeting, PA
National Provider Identifier
1528257912
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009099 Issued in PA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1012695590002MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.