Organization Active NPI

Ohm Family Chiropractic

  • Chiropractor
  • Media, PA
National Provider Identifier
1649698663
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009730 Issued in PA
Legal business name
OHM FAMILY CHIROPRACTIC
Practice address
327 N Middletown Rd
Media, PA 19063-4421
Phone
(610) 565-8823
Fax
(610) 565-4098
NPI assigned
Apr 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Justin Ohm, D.C.NPI 1528258746
Title
Ceo
Phone
(610) 565-8823

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 DC009730 PA Primary

Addresses

Primary practice location

327 N Middletown Rd
Media, PA 19063-4421

Mailing address

232 Mystic LN
Media, PA 19063-5316
Phone (610) 565-8823

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140422000019 PA Part B Supplier - Clinic/Group Practice 2264664564 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA; Media, PA

National Provider Directory

National Provider Directory

Locations

327 N Middletown Rd
Media, PA 19063
Phone (610) 565-8823

1901 S 9th St
Ste 519
Philadelphia, PA 19148

Practitioners & affiliated clinicians

Practitioners 3

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": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1649698663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MYSTIC LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635316",
            "telephone_number": "610-565-8823",
            "fax_number": "610-565-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N MIDDLETOWN RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634421",
            "telephone_number": "610-565-8823",
            "fax_number": "610-565-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHM FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "OHM",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-565-8823",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.