Fleetwood Chiropractic & Wellness Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC004104L Issued in PA

Legal business name

FLEETWOOD CHIROPRACTIC & WELLNESS CENTER, PC

Practice address

14128 Kutztown Road
Fleetwood, PA 19522-0326

Phone

(610) 944-9647

Fax

(610) 944-8737

NPI assigned

Apr 20, 2011

Organization subpart

No

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

Authorized official

Name

Howard K Frick, D.C.NPI 1639139900

Title

Owner

Phone

(610) 944-9647

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard Kevin Frick, DC

  • Chiropractor
  • Blandon, PA
  • NPI 1639139900
  Medicare reassignment NPD Authorized official
• Jennifer Derecola, LMT

  • Massage Therapist
  • Fleetwood, PA
  • NPI 1821388042
  NPD (past)
• Gregory A Jones, DC

  • Chiropractor
  • Fleetwood, PA
  • NPI 1104917418
  NPD (past)
• Stephen Courtenay Paterno, D.C.

  • Chiropractor
  • Dallas, TX
  • NPI 1366774473
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1598056954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14128 KUTZTOWN ROAD",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195220326",
            "telephone_number": "610-944-9647",
            "fax_number": "610-944-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14128 KUTZTOWN ROAD",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195220326",
            "telephone_number": "610-944-9647",
            "fax_number": "610-944-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEETWOOD CHIROPRACTIC & WELLNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "FRICK",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-944-9647",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004104L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Fellin, DO
• Cora Rain Fernandez, LPC
• Christopher Ferraro
• Valerie Ann Finlan, MSN, NP-C
• Fleetwood Area School District
• Fleetwood Dental Professional Corporation
• Fleetwood Family Dental Care LLC
• Fleetwood Footcare Center, PC (Fleetwood Foot and Ankle Center)
• Fleetwood Vol Fire Co 1
• Ashley Vellela Flor, PSYD

• Chiropractor in Fleetwood, PA
• Providers in Fleetwood, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.

Verify at the official NPI Registry.