NPIMap

Organization Active NPI

Discover Chiropractic Inc.

  • Clinic/Center
  • Brick, NJ
National Provider Identifier
1699076406
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MC4174 Issued in NJ
Legal business name
DISCOVER CHIROPRACTIC INC.
Practice address
136 Drum Point Rd
Suite 4
Brick, NJ 08723-6275
Phone
(732) 920-8844
Fax
(732) 920-0024
NPI assigned
Nov 10, 2010
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. Christopher Frederick Kawa, DCNPI 1831139013
Title
Owner
Phone
(732) 920-8844

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
Clinic/Center 261Q00000X MC4174 NJ Primary

Addresses

Primary practice location

136 Drum Point Rd
Suite 4
Brick, NJ 08723-6275

Mailing address

136 Drum Point Rd
Suite 4
Brick, NJ 08723-6275
Phone (732) 920-8844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110304000276 NJ Part B Supplier - Clinic/Group Practice 1052593563 Receives reassigned benefits from 2 practitioners
Practice locations: Brick, NJ

National Provider Directory

National Provider Directory
Tax ID family
Discover Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

136 Drum Point Rd
Ste 4
Brick, NJ 08723
Phone (732) 920-8844

Practitioners & affiliated clinicians

Practitioners 2

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": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1699076406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 DRUM POINT RD",
            "address_2": "SUITE 4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236275",
            "telephone_number": "732-920-8844",
            "fax_number": "732-920-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 DRUM POINT RD",
            "address_2": "SUITE 4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236275",
            "telephone_number": "732-920-8844",
            "fax_number": "732-920-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "KAWA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-920-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "MC4174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.