Organization Active NPI

Gannon Chiropractic Center, P.C.

  • Chiropractor
  • Cherry Hill, NJ
National Provider Identifier
1619129186
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00264900 Issued in NJ
Legal business name
GANNON CHIROPRACTIC CENTER, P.C.
Practice address
2 Split Rock Dr
Suite 1
Cherry Hill, NJ 08003-1244
Phone
(856) 424-9220
Fax
(856) 424-5319
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Dr. William Joseph Gannon, D.C.
Title
Owner
Phone
(856) 424-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00264900 NJ Primary

Addresses

Primary practice location

2 Split Rock Dr
Suite 1
Cherry Hill, NJ 08003-1244

Mailing address

2 Split Rock Dr
Suite 1
Cherry Hill, NJ 08003-1244
Phone (856) 424-9220

National Provider Directory

National Provider Directory

Locations

2 Split Rock Dr
Ste 1
Cherry Hill, NJ 08003
Phone (856) 317-6000

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1619129186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SPLIT ROCK DR",
            "address_2": "SUITE 1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031244",
            "telephone_number": "856-424-9220",
            "fax_number": "856-424-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SPLIT ROCK DR",
            "address_2": "SUITE 1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031244",
            "telephone_number": "856-424-9220",
            "fax_number": "856-424-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANNON CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "GANNON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-424-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00264900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.