Active NPI
Eagle Chiropractic, P. C.
- Chiropractor
- Exton, PA
National Provider Identifier
1740311166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004694L
- Legal business name
- EAGLE CHIROPRACTIC, P. C.
- Practice address
- 30 N Village Ave
Exton, PA 19341-1211 - Phone
- (610) 458-7777
- Fax
- (610) 458-7908
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cynthia L. Glendening, D.C.
- Title
- D.C.
- Phone
- (610) 458-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004694L | PA | Primary |
Addresses
Primary practice location
30 N Village Ave
Exton, PA 19341-1211
Mailing address
P. O. Box 795
Uwchland, PA 19480
Phone (610) 458-7777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 673170 | Other | PA | PERSONAL CHOICE |
| 00139115004 | Medicaid | PA | |
| 5931123 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
30 N Village Ave
Exton, PA 19341
Phone (610) 458-7777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Exton, PA
- NPI 1144719956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227657600000",
"number": "1740311166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 795",
"city": "UWCHLAND",
"state": "PA",
"postal_code": "19480",
"telephone_number": "610-458-7777",
"fax_number": "610-458-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N VILLAGE AVE",
"city": "EXTON",
"state": "PA",
"postal_code": "193411211",
"telephone_number": "610-458-7777",
"fax_number": "610-458-7908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE CHIROPRACTIC, P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2008-11-26",
"status": "A",
"authorized_official_last_name": "GLENDENING",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "D.C.",
"authorized_official_telephone_number": "610-458-7777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004694L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "673170",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00139115004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5931123",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Exton, PA
- Daniel Dvorkin, MD
- Tina R Dwyer, MA, LPC
- Bradley J. Dyer, MD
- Cara M. Dyson-O'Connor, MA, LPC
- E. Joan Sathe, DMD, PC
- Eagle Foot & Ankle Specialists, LLC
- Ear Nose and Throat Associates of Chester County
- Ear, Nose and Throat Associates of Chester County
- Amy L Earnest, PA-C
- Ebenezer Upper Cervical Chiropractic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.