Organization Active NPI

A Laser Wellness Center, P.C.

  • Chiropractor
  • Lancaster, PA
National Provider Identifier
1528312840
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002444L Issued in PA
Legal business name
A LASER WELLNESS CENTER, P.C.
Practice address
313 W Liberty St
Suite 225
Lancaster, PA 17603-2798
Phone
(717) 435-9380
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Charles Grim, D.C.
Title
Chiropractor
Phone
(717) 435-9380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC002444L PA Primary

Addresses

Primary practice location

313 W Liberty St
Suite 225
Lancaster, PA 17603-2798

Mailing address

1924 Parker Ave
Holmes, PA 19043-1442
Phone (717) 435-9380

National Provider Directory

National Provider Directory

Locations

313 W Liberty St
Ste 225
Lancaster, PA 17603
Phone (717) 435-9380

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1528312840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 PARKER AVE",
            "city": "HOLMES",
            "state": "PA",
            "postal_code": "190431442",
            "telephone_number": "717-435-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W LIBERTY ST",
            "address_2": "SUITE 225",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032798",
            "telephone_number": "717-435-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LASER WELLNESS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "GRIM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "717-435-9380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002444L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.