Organization Active NPI

Witmer Chiropractic Associates

  • Chiropractor
  • West Lawn, PA
National Provider Identifier
1639108467
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WITMER CHIROPRACTIC ASSOCIATES
Practice address
2112 Penn Ave
West Lawn, PA 19609-1648
Phone
(610) 670-8550
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Alicia Witmer, D.C.NPI 1881687523
Title
President
Phone
(610) 670-8550

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 PA Primary

Addresses

Primary practice location

2112 Penn Ave
West Lawn, PA 19609-1648

Mailing address

2112 Penn Ave
West Lawn, PA 19609-1648
Phone (610) 670-8550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001221 PA Part B Supplier - Clinic/Group Practice 0648241174 Receives reassigned benefits from 2 practitioners
Practice locations: West Lawn, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1639108467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 PENN AVE",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091648",
            "telephone_number": "610-670-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 PENN AVE",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091648",
            "telephone_number": "610-670-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITMER CHIROPRACTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "WITMER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-670-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lawn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.