King of Prussia Chiropractic&Holistic Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC003324L Issued in PA

Legal business name

KING OF PRUSSIA CHIROPRACTIC&HOLISTIC WELLNESS CENTER LLC

Practice address

860 First Ave
Suite 1
King of Prussia, PA 19406-4033

Phone

(610) 265-2522

NPI assigned

May 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Wendi Gibson, D.C.

Title

Member

Phone

(610) 265-2522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1679865547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 FIRST AVE",
            "address_2": "SUITE 1",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-265-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 FIRST AVE",
            "address_2": "SUITE 1",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-265-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING OF PRUSSIA CHIROPRACTIC&HOLISTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-265-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003324L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kim
• Kirstie Kimmel, BCBA, MS. LBS
• Katelyn Marie Kincaid
• King of Prussia As, LLC
• King of Prussia Chiropractic and Rehabilitation
• King of Prussia Dental Associates
• King of Prussia Doulas
• King of Prussia Family Eye Care P.C.
• King of Prussia Family Medicine
• King of Prussia Surgery Center, LLC (King of Prussia Surgery Center)

• Chiropractor in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.