Chiroevolution LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011060 Issued in PA

Legal business name

CHIROEVOLUTION LLC

Practice address

1001 Wexford Plaza Dr
Wexford, PA 15090-9214

Phone

(412) 228-0373

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Dora Alyce Gentry Fogel, DC

Title

Co Owner

Phone

(412) 228-0373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1699134825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WEXFORD PLAZA DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909214",
            "telephone_number": "412-228-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WEXFORD PLAZA DR",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909214",
            "telephone_number": "412-228-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROEVOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "ALYCE GENTRY",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "412-228-0373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Community Care
• Children'S Community Care
• Children'S Community Care
• Thomas Chimenti
• Angelia Chirdon, OTR
• Andrew Chongaway, PT
• Keith Allen Chrisanthus, RPH
• Robert Christian, M.D.
• Carrie Chruscial
• William Chuang, MD

• Chiropractor in Wexford, PA
• Providers in Wexford, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.