Organization Active NPI

McCormick Chiropractic Main Line LLC

Doing business as McCormick Chiropractic Main Line

  • Chiropractor
  • Berwyn, PA
National Provider Identifier
1679241319
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MCCORMICK CHIROPRACTIC MAIN LINE LLC
Doing business as
McCormick Chiropractic Main Line
Practice address
1199 Lancaster Ave
Berwyn, PA 19312-1341
Phone
(610) 310-8659
Fax
(610) 705-0180
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Dr. Connor McCormickNPI 1750734034
Title
Chiropractor
Phone
(610) 705-0201

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

1199 Lancaster Ave
Berwyn, PA 19312-1341

Mailing address

1199 Lancaster Ave
Berwyn, PA 19312-1341
Phone (610) 310-8659

Other names 1

  • McCormick Chiropractic Main Line Doing business as

National Provider Directory

National Provider Directory

Locations

1199 Lancaster Ave
Berwyn, PA 19312
Phone (610) 310-8659

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": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1679241319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121341",
            "telephone_number": "610-310-8659",
            "fax_number": "610-705-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121341",
            "telephone_number": "610-310-8659",
            "fax_number": "610-705-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORMICK CHIROPRACTIC MAIN LINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "610-705-0201",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCormick Chiropractic Main Line",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.