Active NPI
Thomas B. Wachtmann, DC
- Nutrition Chiropractor
- Fleetwood, PA
National Provider Identifier
1538493945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- DC006523L
- Practice address
- 3130 Pricetown Rd
Suite H
Fleetwood, PA 19522-8750 - Phone
- (610) 944-5000
- Fax
- (610) 944-9018
- NPI assigned
- Oct 1, 2009
- Last updated
- Jan 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC006523L | PA | Primary |
Addresses
Primary practice location
3130 Pricetown Rd
Suite H
Fleetwood, PA 19522-8750
Mailing address
3130 Pricetown Rd
Suite H
Fleetwood, PA 19522-8750
Phone (610) 944-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3130 Pricetown Rd
Suite H
Fleetwood, PA 19522-8750
Phone (610) 944-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296259200000",
"number": "1538493945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 PRICETOWN RD",
"address_2": "SUITE H",
"city": "FLEETWOOD",
"state": "PA",
"postal_code": "195228750",
"telephone_number": "610-944-5000",
"fax_number": "610-944-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 PRICETOWN RD",
"address_2": "SUITE H",
"city": "FLEETWOOD",
"state": "PA",
"postal_code": "195228750",
"telephone_number": "610-944-5000",
"fax_number": "610-944-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACHTMANN",
"first_name": "THOMAS",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-01",
"last_updated": "2011-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "PA",
"license": "DC006523L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleetwood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.