Active NPI
Michael A Coppola, DC
- Chiropractor
- Ambler, PA
National Provider Identifier
1639107774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC003216L
- Practice address
- 332 N Bethlehem Pike
Ambler, PA 19002-3525 - Phone
- (215) 643-2250
- Fax
- (215) 643-7913
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC003216L | PA | Primary |
Addresses
Primary practice location
332 N Bethlehem Pike
Ambler, PA 19002-3525
Mailing address
PO Box 509
Spring House, PA 19477
Phone (215) 643-2250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031222000268 | PA | Practitioner - Chiropractic | 3870491442 | Practice locations: Spring House, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael a. Coppola | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Ambler, PA
- NPI 1154482891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639107774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 509",
"city": "SPRING HOUSE",
"state": "PA",
"postal_code": "19477",
"telephone_number": "215-643-2250",
"fax_number": "215-643-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 N BETHLEHEM PIKE",
"city": "AMBLER",
"state": "PA",
"postal_code": "190023525",
"telephone_number": "215-643-2250",
"fax_number": "215-643-7913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPOLA",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003216L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ambler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.