Individual provider Active NPI

Michael J Farrell, DC

  • Chiropractor
  • Glenside, PA
National Provider Identifier
1740229947
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006126L Issued in PA
Practice address
270 N Keswick Ave
Glenside, PA 19038-4826
Phone
(215) 572-1580
Fax
(215) 754-4917
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006126L PA Primary

Addresses

Primary practice location

270 N Keswick Ave
Glenside, PA 19038-4826

Mailing address

31 N Linden Ave
Hatboro, PA 19040-3115
Phone (215) 572-1580

Other identifiers 1

IdentifierTypeStateIssuer
0867776000OtherPABLUE CROSS/BLUS SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130522000570 PA Practitioner - Chiropractic 5799923207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greco Family ChiropracticGroup PAC ID 3577507110, 3 clinicians

Practice addresses (Care Compare)

144 York Rd
Suite 100
Warminster, PA 18974-4521
Phone (215) 675-8009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC006126LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Greco Family Chiropractic Chiropractor CurrentSince Nov 4, 2014 Accepting new patients
Lyceum Chiropractic, P.C. Chiropractor Past Accepting new patients
The Family Chiropractor Chiropractor PastSince Oct 17, 2012 Accepting new patients

Locations

144 York Rd
#100
Warminster, PA 18974
Phone (215) 675-8009

144 York Rd
Warminster, PA 18974
Phone (215) 675-8009

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1740229947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 N LINDEN AVE",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190403115",
            "telephone_number": "215-572-1580",
            "fax_number": "215-754-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N KESWICK AVE",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384826",
            "telephone_number": "215-572-1580",
            "fax_number": "215-754-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006126L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUS SHIELD",
            "identifier": "0867776000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenside, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.