NPIMap

Organization Active NPI

Pocono Chiropractic Health Centre PC

  • Chiropractor
  • Nazareth, PA
National Provider Identifier
1578747721
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001460L Issued in PA
Legal business name
POCONO CHIROPRACTIC HEALTH CENTRE PC
Practice address
402 W Moorestown Rd
Nazareth, PA 18064-9569
Phone
(610) 759-1300
Fax
(610) 759-4418
NPI assigned
Dec 24, 2007
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Mrs. Richard Frey, DCNPI 1851414288
Title
President
Phone
(570) 424-6782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001460L PA Primary

Addresses

Primary practice location

402 W Moorestown Rd
Nazareth, PA 18064-9569

Mailing address

402 W Moorestown Rd
Nazareth, PA 18064-9569
Phone (610) 759-1300

Other identifiers 9

IdentifierTypeStateIssuer
20017664OtherPAAMERI HEALTH MERCY
076225OtherPA1ST PRIORITY HEALTH
4604774OtherPAAETNA
0010759730007MedicaidPA
607155OtherPAUNITED HEALTHCARE
179559OtherPAHIGHMARK
1015862OtherPAAETNA HMO
290919500OtherPACAPITAL BC
5802644OtherPAGHI

National Provider Directory

National Provider Directory

Locations

402 W Moorestown Rd
Nazareth, PA 18064
Phone (570) 424-6782

Practitioners & affiliated clinicians

Practitioners 4

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": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1578747721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W MOORESTOWN RD",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649569",
            "telephone_number": "610-759-1300",
            "fax_number": "610-759-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W MOORESTOWN RD",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649569",
            "telephone_number": "610-759-1300",
            "fax_number": "610-759-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO CHIROPRACTIC HEALTH CENTRE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-424-6782",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001460L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERI HEALTH MERCY",
            "identifier": "20017664",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST PRIORITY HEALTH",
            "identifier": "076225",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4604774",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010759730007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "607155",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "179559",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1015862",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "290919500",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5802644",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.