Organization Active NPI

CGC Management Corporation

  • Chiropractor
  • Lansdale, PA
National Provider Identifier
1649319187
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005306-L Issued in PA
Legal business name
CGC MANAGEMENT CORPORATION
Practice address
611 S Broad St
Lansdale, PA 19446-3702
Phone
(215) 631-1595
Fax
(215) 631-1596
NPI assigned
Feb 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christopher Gerard Cianci, DCNPI 1164447132
Title
Owner
Phone
(215) 631-1595

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
Chiropractor 111N00000X DC005306-L PA Primary

Addresses

Primary practice location

611 S Broad St
Lansdale, PA 19446-3702

Mailing address

611 S Broad St
Lansdale, PA 19446-3702
Phone (215) 631-1595

Other identifiers 4

IdentifierTypeStateIssuer
2119560000OtherPAKEYSTONE HMO GRP ID
1432995OtherPAPA BS GROUP NUMBER
2119560000OtherPAPERSONAL CHOICE GROUP ID
2119560000OtherPAAMERIHEALTH GRP ID

National Provider Directory

National Provider Directory

Locations

611 S Broad St
Lansdale, PA 19446
Phone (215) 631-1595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649319187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194463702",
            "telephone_number": "215-631-1595",
            "fax_number": "215-631-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194463702",
            "telephone_number": "215-631-1595",
            "fax_number": "215-631-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGC MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CIANCI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-631-1595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005306-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HMO GRP ID",
            "identifier": "2119560000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BS GROUP NUMBER",
            "identifier": "1432995",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE GROUP ID",
            "identifier": "2119560000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GRP ID",
            "identifier": "2119560000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.