Organization Active NPI

Eagle Chiropractic, P. C.

  • Chiropractor
  • Exton, PA
National Provider Identifier
1740311166
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004694L Issued in PA
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

Updated by the provider on Nov 26, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
673170OtherPAPERSONAL CHOICE
00139115004MedicaidPA
5931123OtherPAAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090827000808 PA Part B Supplier - Clinic/Group Practice 4880749761 Receives reassigned benefits from 1 practitioner
Practice locations: Exton, PA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.