Organization Active NPI

Ebenezer Upper Cervical Chiropractic, LLC

  • Chiropractor
  • Exton, PA
National Provider Identifier
1649505264
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010060 Issued in PA
Legal business name
EBENEZER UPPER CERVICAL CHIROPRACTIC, LLC
Practice address
300 N Pottstown Pike
Suite 280
Exton, PA 19341
Phone
(484) 879-6053
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Dr. Bryan Fye Zyn Choong, D.C.
Title
Doctor of Chiropractic
Phone
(484) 879-6053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC010060 PA Primary

Addresses

Primary practice location

300 N Pottstown Pike
Suite 280
Exton, PA 19341

Mailing address

300 N Pottstown Pike
Suite 280
Exton, PA 19341
Phone (484) 879-6053

Other names 1

  • Ebenezer Health Care, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

300 N Pottstown Pike
Ste 280
Exton, PA 19341
Phone (484) 879-6053

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1649505264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N POTTSTOWN PIKE",
            "address_2": "SUITE 280",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "484-879-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N POTTSTOWN PIKE",
            "address_2": "SUITE 280",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "484-879-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER UPPER CERVICAL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "CHOONG",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "FYE ZYN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "484-879-6053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebenezer Health Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.