NPIMap

Organization Active NPI

Garnet Valley Sprot and Spine Chiropactic Ctr

  • Chiropractor
  • Garnet Valley, PA
National Provider Identifier
1740305887
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008836 Issued in PA
Legal business name
GARNET VALLEY SPROT AND SPINE CHIROPACTIC CTR
Practice address
3039 Foulk Road
Garnet Valley, PA 19060
Phone
(610) 361-0070
Fax
(610) 361-0071
NPI assigned
Mar 20, 2007
Last updated
Feb 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Dr. Tim A Martin, D.C.
Title
Owner/President
Phone
(610) 361-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008836 PA Primary

Addresses

Primary practice location

3039 Foulk Road
Garnet Valley, PA 19060

Mailing address

3039 Faulk Road
Garnet Valley, PA 19060
Phone (610) 361-0070

National Provider Directory

National Provider Directory
Tax ID family
Absolute Health and Wellness2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1740305887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 FAULK ROAD",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "19060",
            "telephone_number": "610-361-0070",
            "fax_number": "610-361-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 FOULK ROAD",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "19060",
            "telephone_number": "610-361-0070",
            "fax_number": "610-361-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNET VALLEY SPROT AND SPINE CHIROPACTIC CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "610-361-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garnet Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.