NPIMap

Organization Active NPI

Upper Cervical Chiropractic Neurology Center, P.C.

  • Chiropractor
  • Downingtown, PA
National Provider Identifier
1710279831
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009298 Issued in PA
Legal business name
UPPER CERVICAL CHIROPRACTIC NEUROLOGY CENTER, P.C.
Practice address
533 W Uwchlan Ave
Suite 101
Downingtown, PA 19335-1763
Phone
(484) 593-0328
NPI assigned
May 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Dr. Stephen Anthony Conicello, D.C.
Title
President
Phone
(484) 593-0328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC009298 PA Primary

Addresses

Primary practice location

533 W Uwchlan Ave
Suite 101
Downingtown, PA 19335-1763

Mailing address

533 W Uwchlan Ave
Suite 101
Downingtown, PA 19335-1763
Phone (484) 593-0328

Other identifiers 1

IdentifierTypeStateIssuer
221336OtherPAMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1304812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1710279831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W UWCHLAN AVE",
            "address_2": "SUITE 101",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351763",
            "telephone_number": "484-593-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W UWCHLAN AVE",
            "address_2": "SUITE 101",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351763",
            "telephone_number": "484-593-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CERVICAL CHIROPRACTIC NEUROLOGY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-08",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "CONICELLO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-593-0328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "221336",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.