Active NPI
Nutche Chiropractic, Inc
- Chiropractor
- Philadelphia, PA
National Provider Identifier
1568613883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009649
- Legal business name
- NUTCHE CHIROPRACTIC, INC
- Practice address
- 1608 Walnut St
Suite 601
Philadelphia, PA 19103-5457 - Phone
- (215) 546-1010
- Fax
- (215) 546-1005
- NPI assigned
- Oct 6, 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. Jason Nutche, D.C.
- Title
- Owner
- Phone
- (215) 546-1010
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 | DC009649 | PA | Primary |
Addresses
Primary practice location
1608 Walnut St
Suite 601
Philadelphia, PA 19103-5457
Mailing address
1608 Walnut St
Suite 601
Philadelphia, PA 19103-5457
Phone (215) 546-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3529049000 | Other | PA | INDEPENDENCE BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1608 Walnut St
Ste 601
Philadelphia, PA 19103
Phone (215) 546-1010
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Philadelphia, PA
- NPI 1346277175
-
- Chiropractor
- Philadelphia, PA
- NPI 1164794889
-
- Chiropractor
- Philadelphia, PA
- NPI 1609879568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380672000000",
"number": "1568613883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 WALNUT ST",
"address_2": "SUITE 601",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035457",
"telephone_number": "215-546-1010",
"fax_number": "215-546-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 WALNUT ST",
"address_2": "SUITE 601",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035457",
"telephone_number": "215-546-1010",
"fax_number": "215-546-1005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTCHE CHIROPRACTIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-06",
"last_updated": "2013-10-02",
"status": "A",
"authorized_official_last_name": "NUTCHE",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-546-1010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "3529049000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.