Organization Active NPI

Avon Chiropractic Inc

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1609344332
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AVON CHIROPRACTIC INC
Practice address
10752 Bustleton Ave
Philadelphia, PA 19116-3367
Phone
(215) 613-5929
Fax
(215) 613-5929
NPI assigned
Nov 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Authorized official

Name
Linda Amoah
Title
Chiropractic Assistant
Phone
(215) 338-8840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

10752 Bustleton Ave
Philadelphia, PA 19116-3367

Mailing address

10752 Bustleton Ave
Philadelphia, PA 19116-3367
Phone (215) 613-5929

National Provider Directory

National Provider Directory

Locations

10752 Bustleton Ave
Philadelphia, PA 19116
Phone (215) 613-5929

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1609344332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10752 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163367",
            "telephone_number": "215-613-5929",
            "fax_number": "215-613-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163367",
            "telephone_number": "215-613-5929",
            "fax_number": "215-613-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "AMOAH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIROPRACTIC ASSISTANT",
        "authorized_official_telephone_number": "215-338-8840"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 12, 2018; 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.