Organization Active NPI

Moylan Chiropractic Center

  • Orthopedic Chiropractor
  • Philadelphia, PA
National Provider Identifier
1689088791
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC004382L Issued in PA
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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.NPI 1326009085
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)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
001277057MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.