Organization Active NPI

Comprehensive Chiropractic & Rehab, Inc.

  • Chiropractor
  • Abington, PA
National Provider Identifier
1619146826
Registry record updated Apr 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008916 Issued in PA
Legal business name
COMPREHENSIVE CHIROPRACTIC & REHAB, INC.
Practice address
1422 Easton Rd
Abington, PA 19001-1606
Phone
(215) 443-5626
Fax
(215) 443-5973
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2014

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

Authorized official

Name
Dr. Wai-Wen Mike Cheng, D.C.NPI 1255380374
Title
Owner
Phone
(215) 443-5626

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC008916 PA Primary

Addresses

Primary practice location

1422 Easton Rd
Abington, PA 19001-1606

Mailing address

1422 Easton Rd
Abington, PA 19001-1606
Phone (215) 443-5626

Other identifiers 5

IdentifierTypeStateIssuer
1369854OtherPAAETNA HMO
0007815819OtherPAAETNA PPO
1665081OtherPABLUE SHIELD
2701807000OtherPABLUE CROSS
0707518OtherPAUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000516 PA Part B Supplier - Clinic/Group Practice 4981615655 Receives reassigned benefits from 1 practitioner
Practice locations: Abington, PA

National Provider Directory

National Provider Directory

Locations

619 Horsham Rd
#2
Horsham, PA 19044
Phone (215) 443-5626

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": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397347200000",
    "number": "1619146826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 EASTON RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190011606",
            "telephone_number": "215-443-5626",
            "fax_number": "215-443-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 EASTON RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190011606",
            "telephone_number": "215-443-5626",
            "fax_number": "215-443-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CHIROPRACTIC & REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2014-04-13",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "WAI-WEN",
        "authorized_official_middle_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-443-5626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1369854",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0007815819",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1665081",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2701807000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0707518",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2014; 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.