Organization Active NPI

Spring Garden Chiropractic, P.C.

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1750540126
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-001868-L Issued in PA
Legal business name
SPRING GARDEN CHIROPRACTIC, P.C.
Practice address
521 N 22ND St
Philadelphia, PA 19130-3130
Phone
(215) 963-0550
NPI assigned
Jun 2, 2008
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Joel Zimmer, D.C.
Title
Ceo
Phone
(215) 963-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-001868-L PA Primary

Addresses

Primary practice location

521 N 22ND St
Philadelphia, PA 19130-3130

Mailing address

521 N 22ND St
Philadelphia, PA 19130-3130
Phone (215) 963-0550

Other identifiers 2

IdentifierTypeStateIssuer
0061010000OtherPAINDEPENDENCE BLUE CROSS
651232OtherPAUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

521 N 22nd St
Philadelphia, PA 19130
Phone (215) 963-0550

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1750540126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N 22ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303130",
            "telephone_number": "215-963-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N 22ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303130",
            "telephone_number": "215-963-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GARDEN CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-963-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-001868-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0061010000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "651232",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.