Organization Active NPI

Optimum Health Chiropractic

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1619098993
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006969L Issued in PA
Legal business name
OPTIMUM HEALTH CHIROPRACTIC
Practice address
8945 Ridge Ave
Suite 2
Philadelphia, PA 19128-2036
Phone
(205) 508-3291
Fax
(205) 508-3022
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Dawn Cute
Title
Chiropractor
Phone
(215) 508-3291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC006969L PA Primary

Addresses

Primary practice location

8945 Ridge Ave
Suite 2
Philadelphia, PA 19128-2036

Mailing address

8945 Ridge Ave
Suite 2
Philadelphia, PA 19128-2036
Phone (205) 508-3291

Other identifiers 2

IdentifierTypeStateIssuer
2073300000OtherPAKEYSTONE PROVIDER NUMBER
747769OtherPAPERSONAL CHOICE PROVIDER

National Provider Directory

National Provider Directory

Locations

8945 Ridge Ave
Ste 2
Philadelphia, PA 19128
Phone (205) 508-3291

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1619098993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 RIDGE AVE",
            "address_2": "SUITE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282036",
            "telephone_number": "205-508-3291",
            "fax_number": "205-508-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 RIDGE AVE",
            "address_2": "SUITE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282036",
            "telephone_number": "205-508-3291",
            "fax_number": "205-508-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CUTE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "215-508-3291",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006969L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE PROVIDER NUMBER",
            "identifier": "2073300000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE PROVIDER",
            "identifier": "747769",
            "state": "PA"
        }
    ],
    "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 Apr 20, 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.