Active NPI
First DC Holistic Medical Centre
- Chiropractor
- Feasterville Trevose, PA
National Provider Identifier
1538372933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC003377L
- Legal business name
- FIRST DC HOLISTIC MEDICAL CENTRE
- Practice address
- 112 E Pennsylvania Blvd
Feasterville Trevose, PA 19053-7843 - Phone
- (215) 364-1112
- Fax
- (215) 364-3231
- NPI assigned
- May 8, 2007
- Last updated
- Aug 22, 2020
- 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. Daniel Frank Lavanga, DC
- Title
- Chiropractor Owner
- Phone
- (215) 364-1112
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC003377L | PA | Primary |
Addresses
Primary practice location
112 E Pennsylvania Blvd
Feasterville Trevose, PA 19053-7843
Mailing address
112 E Pennsylvania Blvd
Feasterville Trevose, PA 19053-7843
Phone (215) 364-1112
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1390763 | Other | PA | HIGHMARK BLUESHEILD |
| 2823869 | Other | PA | AETNA |
| CAQH | Other | PA | CAQH |
| 663095 | Other | PA | ACN GROUP |
| 1038026 | Other | PA | ASHN |
| N90763 | Other | PA | AMERIHEALTH |
| 381023 | Other | PA | MAMSI |
| 4924929 | Other | PA | CIGNA |
| 2080174000 | Other | PA | PERSONAL CHOICE KEYSTONE |
| 740993 | Other | PA | FIRST HEALTH |
| 3685273 | Other | PA | AETNA |
| 5017555 | Other | PA | AETNA |
Other names 1
- Lavanga Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
112 E Pennsylvania Blvd
Fstrvl Trvose, PA 19053
Phone (215) 364-1112
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
- Feasterville, PA
- NPI 1063485076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1538372933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 E PENNSYLVANIA BLVD",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190537843",
"telephone_number": "215-364-1112",
"fax_number": "215-364-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E PENNSYLVANIA BLVD",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190537843",
"telephone_number": "215-364-1112",
"fax_number": "215-364-3231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST DC HOLISTIC MEDICAL CENTRE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAVANGA",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "FRANK",
"authorized_official_title_or_position": "CHIROPRACTOR OWNER",
"authorized_official_telephone_number": "215-364-1112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003377L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUESHEILD",
"identifier": "1390763",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2823869",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "CAQH",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP",
"identifier": "663095",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "1038026",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "N90763",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "381023",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4924929",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE KEYSTONE",
"identifier": "2080174000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "740993",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3685273",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5017555",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lavanga Chiropractic",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Feasterville Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.