Organization Active NPI

Family Chiropractic Center

  • Chiropractor
  • Boothwyn, PA
National Provider Identifier
1669414314
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002394L Issued in PA
Legal business name
FAMILY CHIROPRACTIC CENTER
Practice address
2414 Blueball Avenue
Boothwyn, PA 19061-3653
Phone
(610) 485-3090
Fax
(302) 477-0564
NPI assigned
Jun 10, 2006
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Dr. Eugene G Horsky, DCNPI 1952447047
Title
General Partner
Phone
(302) 513-1536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC002675L PA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC002394L PA Primary

Addresses

Primary practice location

2414 Blueball Avenue
Boothwyn, PA 19061-3653

Mailing address

2414 Blueball Avenue
Boothwyn, PA 19061-3653
Phone (302) 513-1536

Other practice location 1

2408 Dorval Rd
Wilmington, DE 19810-3529
Phone (302) 513-1536

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050418000108 PA Part B Supplier - Clinic/Group Practice 8325085798 Receives reassigned benefits from 1 practitioner
Practice locations: Upper Chichester, PA

National Provider Directory

National Provider Directory

Locations

2414 Blueball Ave
Upper Chichester, PA 19061
Phone (610) 485-3090

Practitioners & affiliated clinicians

Practitioners 2

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1669414314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 BLUEBALL AVENUE",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190613653",
            "telephone_number": "302-513-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 BLUEBALL AVENUE",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190613653",
            "telephone_number": "610-485-3090",
            "fax_number": "302-477-0564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2408 Dorval Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198103529",
            "country_code": "US",
            "telephone_number": "302-513-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "HORSKY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "302-513-1536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002675L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002394L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boothwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.