Organization Active NPI

Comfort Care Chiropractic PC

  • Chiropractor
  • Plymouth Meeting, PA
National Provider Identifier
1669608634
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COMFORT CARE CHIROPRACTIC PC
Practice address
1033 Germantown Pike
Plymouth Meeting, PA 19462-2449
Phone
(484) 684-7002
Fax
(484) 684-7053
NPI assigned
Jun 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Authorized official

Name
Dr. Kashain Srisuro, D.C.NPI 1871785949
Title
Chiropractor/President
Phone
(484) 684-7002

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 Primary

Addresses

Primary practice location

1033 Germantown Pike
Plymouth Meeting, PA 19462-2449

Mailing address

1033 Germantown Pike
Plymouth Meeting, PA 19462-2449
Phone (484) 684-7002

Other identifiers 1

IdentifierTypeStateIssuer
170443OtherPAPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100115000816 PA Part B Supplier - Clinic/Group Practice 9739221532 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth Meeting, PA

National Provider Directory

National Provider Directory

Locations

1033 Germantown Pike
Plymouth Meeting, PA 19462
Phone (484) 684-7002

Practitioners & affiliated clinicians

Practitioners 1

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": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1669608634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 GERMANTOWN PIKE",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622449",
            "telephone_number": "484-684-7002",
            "fax_number": "484-684-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 GERMANTOWN PIKE",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622449",
            "telephone_number": "484-684-7002",
            "fax_number": "484-684-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "SRISURO",
        "authorized_official_first_name": "KASHAIN",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "484-684-7002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "170443",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.