Organization Active NPI

Chiropractic Health and Pain Institute PA PLLC

  • Chiropractor
  • Fairless Hills, PA
National Provider Identifier
1578358024
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC HEALTH AND PAIN INSTITUTE PA PLLC
Practice address
179 Lincoln Hwy
Fairless Hills, PA 19030-1012
Phone
(920) 256-0392
NPI assigned
Apr 14, 2025
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Taylor Miller, DCNPI 1639780695
Title
Coo
Phone
(906) 399-5636

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Family Nurse Practitioner 363LF0000X
Integrative Medicine Physician 202D00000X

Addresses

Primary practice location

179 Lincoln Hwy
Fairless Hills, PA 19030-1012

Mailing address

29040 N Spoon CT
Mundelein, IL 60060-5311

National Provider Directory

National Provider Directory

Locations

179 Lincoln Hwy
Fairless Hills, PA 19030
Phone (920) 256-0392

Practitioners & affiliated clinicians

Practitioners 2

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": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1578358024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29040 N SPOON CT",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600605311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 LINCOLN HWY",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190301012",
            "telephone_number": "920-256-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH AND PAIN INSTITUTE PA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "906-399-5636",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.