NPIMap

Organization Active NPI

Chester Pain Management

  • General Practice Physician
  • Aston, PA
National Provider Identifier
1649504986
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CHESTER PAIN MANAGEMENT
Practice address
4610 Pennell Road
Aston, PA 19014
Phone
(610) 497-3722
Fax
(267) 212-0020
NPI assigned
Sep 18, 2009
Last updated
Sep 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Jarred Teller, DC
Title
Owner
Phone
(215) 478-6159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

4610 Pennell Road
Aston, PA 19014

Mailing address

PO Box 749
Bensalem, PA 19020
Phone (215) 478-6159

National Provider Directory

National Provider Directory

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": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1649504986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "19020",
            "telephone_number": "215-478-6159",
            "fax_number": "267-212-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 PENNELL ROAD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "19014",
            "telephone_number": "610-497-3722",
            "fax_number": "267-212-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "TELLER",
        "authorized_official_first_name": "JARRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-478-6159",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.