Organization Active NPI

Bucks County Wellness Centre

  • Chiropractor
  • Newtown, PA
National Provider Identifier
1689615932
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004895L Issued in PA
Legal business name
BUCKS COUNTY WELLNESS CENTRE
Practice address
121 Friends LN
Suite 100
Newtown, PA 18940-1897
Phone
(215) 968-1661
Fax
(215) 968-7722
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Dr. Dane Patrick Donohue, DCNPI 1639126758
Title
Chiropractor President
Phone
(215) 968-1661

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC004895L PA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC006966L PA

Addresses

Primary practice location

121 Friends LN
Suite 100
Newtown, PA 18940-1897

Mailing address

121 Friends LN
Suite 100
Newtown, PA 18940-1897
Phone (215) 968-1661

Other identifiers 2

IdentifierTypeStateIssuer
0482885000OtherPAIBC
386302OtherPAHIGHMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091015000016 PA Part B Supplier - Clinic/Group Practice 2062558489 Receives reassigned benefits from 1 practitioner
Practice locations: Newtown, PA

National Provider Directory

National Provider Directory

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1689615932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FRIENDS LN",
            "address_2": "SUITE 100",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401897",
            "telephone_number": "215-968-1661",
            "fax_number": "215-968-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FRIENDS LN",
            "address_2": "SUITE 100",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401897",
            "telephone_number": "215-968-1661",
            "fax_number": "215-968-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKS COUNTY WELLNESS CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CHIROPRACTOR  PRESIDENT",
        "authorized_official_telephone_number": "215-968-1661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004895L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006966L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0482885000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "386302",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.