Active NPI
William Edward Obrien, DC
- Chiropractor
- East Stroudsburg, PA
National Provider Identifier
1659449247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC002060L
- Practice address
- 75 Crystal Street
East Stroudsburg, PA 18301 - Phone
- (570) 424-6871
- Fax
- (570) 424-6875
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC002060L | PA | Primary |
Addresses
Primary practice location
75 Crystal Street
East Stroudsburg, PA 18301
Mailing address
75 Crystal Street
East Stroudsburg, PA 18301
Phone (570) 424-6871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC002060L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1659449247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 CRYSTAL STREET",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "18301",
"telephone_number": "570-424-6871",
"fax_number": "570-424-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 CRYSTAL STREET",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "18301",
"telephone_number": "570-424-6871",
"fax_number": "570-424-6875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC002060L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.