NPIMap

Organization Active NPI

Ackerman Chiropractic Services PC

  • Chiropractor
  • Broomall, PA
National Provider Identifier
1750530366
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
081030551 Issued in PA
Legal business name
ACKERMAN CHIROPRACTIC SERVICES PC
Practice address
724 Cedar Grove Rd
Broomall, PA 19008-2219
Phone
(610) 353-4433
Fax
(610) 353-5198
NPI assigned
Sep 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Dr. Michael S Ackerman, DCNPI 1912961988
Title
President
Phone
(610) 353-4433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 081030551 PA Primary

Addresses

Primary practice location

724 Cedar Grove Rd
Broomall, PA 19008-2219

Mailing address

724 Cedar Grove Rd
Broomall, PA 19008-2219
Phone (610) 353-4433

Other identifiers 4

IdentifierTypeStateIssuer
000099026OtherPAHIGHMARK BLUE SHIELD
0032856000OtherPAINDEPENDANCE BLUE CROSS
54591OtherPAAETNA HMO
4310067OtherPAAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090115000083 PA Part B Supplier - Clinic/Group Practice 8628131752 Receives reassigned benefits from 2 practitioners
Practice locations: Broomall, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1750530366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 CEDAR GROVE RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082219",
            "telephone_number": "610-353-4433",
            "fax_number": "610-353-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 CEDAR GROVE RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082219",
            "telephone_number": "610-353-4433",
            "fax_number": "610-353-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACKERMAN CHIROPRACTIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-353-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "081030551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000099026",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANCE BLUE CROSS",
            "identifier": "0032856000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "54591",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4310067",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

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