NPIMap

Organization Active NPI

Hauptman Family Health Center PC

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1598724817
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC8616 Issued in PA
Legal business name
HAUPTMAN FAMILY HEALTH CENTER PC
Practice address
2601 Pennsyvania Avenue
Unit C6
Philadelphia, PA 19130-3212
Phone
(215) 564-4880
Fax
(215) 564-4890
NPI assigned
Mar 23, 2006
Last updated
Mar 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Garret M Hauptman, DCNPI 1518927243
Title
President
Phone
(215) 564-4880

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC8616 PA Primary
Internal Medicine Physician 207R00000X OS002602L PA

Addresses

Primary practice location

2601 Pennsyvania Avenue
Unit C6
Philadelphia, PA 19130-3212

Mailing address

2601 Pennsyvania Avenue
Unit C6
Philadelphia, PA 19130-3212
Phone (215) 564-4880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000893 PA Part B Supplier - Clinic/Group Practice 0244241958 Receives reassigned benefits from 2 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Tax ID family
Hauptman Family Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2601 Pennsylvania Ave
Ste C6
Philadelphia, PA 19130
Phone (215) 564-4880

Practitioners & affiliated clinicians

Practitioners 7

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": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1598724817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 PENNSYVANIA AVENUE",
            "address_2": "UNIT C6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303212",
            "telephone_number": "215-564-4880",
            "fax_number": "215-564-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 PENNSYVANIA AVENUE",
            "address_2": "UNIT C6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303212",
            "telephone_number": "215-564-4880",
            "fax_number": "215-564-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAUPTMAN FAMILY HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "HAUPTMAN",
        "authorized_official_first_name": "GARRET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-564-4880",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC8616",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS002602L",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 7, 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.