Organization Active NPI

Logos Chiropractic

  • Chiropractor
  • Avon by the Sea, NJ
National Provider Identifier
1629493945
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00710400 Issued in NJ
Legal business name
LOGOS CHIROPRACTIC
Practice address
319 Main St
Avon by the Sea, NJ 07717-1071
Phone
(732) 455-9936
NPI assigned
Feb 24, 2014
Last updated
Feb 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Dr. Daniel Mutter, D.C.
Title
Chiropractor
Phone
(732) 455-9936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00710400 NJ Primary

Addresses

Primary practice location

319 Main St
Avon by the Sea, NJ 07717-1071

Mailing address

309 Main St
Toms River, NJ 08753-7409
Phone (732) 455-9936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1629493945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537409",
            "telephone_number": "732-455-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MAIN ST",
            "city": "AVON BY THE SEA",
            "state": "NJ",
            "postal_code": "077171071",
            "telephone_number": "732-455-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGOS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "MUTTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "732-455-9936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00710400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon by the Sea, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.