Organization Active NPI

Berks County Chiropractic Specialists, LLC

  • Chiropractor
  • Reading, PA
National Provider Identifier
1619214608
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010623 Issued in PA
Legal business name
BERKS COUNTY CHIROPRACTIC SPECIALISTS, LLC
Practice address
2611 Hampden Blvd
Reading, PA 19604-1010
Phone
(610) 921-2030
Fax
(610) 921-2595
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Dr. Sean Michael Englehart, D.C.NPI 1013263276
Title
Member
Phone
(484) 797-5398

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC010623 PA Primary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X DC010623 PA

Addresses

Primary practice location

2611 Hampden Blvd
Reading, PA 19604-1010

Mailing address

2611 Hampden Blvd
Reading, PA 19604-1010
Phone (610) 921-2030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140203000624 PA Part B Supplier - Clinic/Group Practice 7719116292 Receives reassigned benefits from 1 practitioner
Practice locations: Fleetwood, PA

National Provider Directory

National Provider Directory

Locations

3129 Pricetown Rd
#B
Fleetwood, PA 19522
Phone (610) 750-6446

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": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1619214608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 HAMPDEN BLVD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041010",
            "telephone_number": "610-921-2030",
            "fax_number": "610-921-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 HAMPDEN BLVD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041010",
            "telephone_number": "610-921-2030",
            "fax_number": "610-921-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS COUNTY CHIROPRACTIC SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "ENGLEHART",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "484-797-5398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010623",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "PA",
            "license": "DC010623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.