Individual provider Active NPI

Deborah Marie Cassidy, D.C.

  • Chiropractor
  • Milford, PA
National Provider Identifier
1619949096
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006974-2 Issued in PA
Practice address
113 7TH St
Milford, PA 18337-1234
Phone
(570) 409-9500
Fax
(570) 409-9505
NPI assigned
Feb 1, 2006
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006974-2 PA Primary

Addresses

Primary practice location

113 7TH St
Milford, PA 18337-1234

Mailing address

113 7TH St
Milford, PA 18337-1234
Phone (570) 409-9500

Other identifiers 1

IdentifierTypeStateIssuer
00736308OtherPABLUECROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006974-2PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic of Milford Chiropractor Past Accepting new patients
Advanced Chiropractic Systems LLC Chiropractor PastSince Jul 1, 2002 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1619949096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 7TH ST",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371234",
            "telephone_number": "570-409-9500",
            "fax_number": "570-409-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 7TH ST",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371234",
            "telephone_number": "570-409-9500",
            "fax_number": "570-409-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "DEBORAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "006974-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "00736308",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.