Individual provider Active NPI

Eugene Serafim, DC

  • Chiropractor
  • Exton, PA
National Provider Identifier
1679612956
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007284L Issued in PA
Practice address
661 Exton CMNS
Exton, PA 19341-2446
Phone
(610) 368-5372
Fax
(610) 524-4184
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC007284L PA
Chiropractor 111N00000X DC007284L PA Primary

Addresses

Primary practice location

661 Exton CMNS
Exton, PA 19341-2446

Mailing address

776 Tree LN
West Chester, PA 19380-2000
Phone (610) 692-5547

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000860 PA Practitioner - Chiropractic 6103876511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

661 Exton CMNS
Exton, PA 19341-2446
Phone (610) 368-5372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC007284LPAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetx Chiropractic & Rehab P.C. Chiropractor CurrentSince Dec 28, 2009 Accepting new patients

Locations

661 Exton Cmns
Exton, PA 19341
Phone (610) 368-5372

43 Marchwood Rd
Franklin Ctr, PA 19341
Phone (610) 363-6244

225 Lancaster Ave
Frazer, PA 19355
Phone (610) 264-0964

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1679612956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 TREE LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802000",
            "telephone_number": "610-692-5547",
            "fax_number": "610-363-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412446",
            "telephone_number": "610-368-5372",
            "fax_number": "610-524-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFIM",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC007284L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007284L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.