Active NPI
Moylan Chiropractic Center
- Orthopedic Chiropractor
- Philadelphia, PA
National Provider Identifier
1689088791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- DC004382L
- Legal business name
- MOYLAN CHIROPRACTIC CENTER
- Practice address
- 1301 S 3Rd St
Philadelphia, PA 19147-6008 - Phone
- (267) 324-3461
- Fax
- (267) 324-3464
- NPI assigned
- Jun 17, 2014
- Last updated
- Jun 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James E. Moylan, D.O.
- Title
- Owner
- Phone
- (267) 324-3461
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | DC004382L | PA | Primary |
Addresses
Primary practice location
1301 S 3Rd St
Philadelphia, PA 19147-6008
Mailing address
1301 S 3Rd St
Philadelphia, PA 19147-6008
Phone (267) 324-3461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001277057 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1301 S 3rd St
Philadelphia, PA 19147
Phone (267) 324-3461
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Philadelphia, PA
- NPI 1326009085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402963200000",
"number": "1689088791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 S 3RD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191476008",
"telephone_number": "267-324-3461",
"fax_number": "267-324-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S 3RD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191476008",
"telephone_number": "267-324-3461",
"fax_number": "267-324-3464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOYLAN CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-17",
"last_updated": "2014-06-17",
"status": "A",
"authorized_official_last_name": "MOYLAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-324-3461",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": "PA",
"license": "DC004382L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001277057",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.