NPIMap

Organization Active NPI

Primary Chiropractic Center P C

  • Pediatric Chiropractor
  • Berwyn, PA
National Provider Identifier
1750677308
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
DC-005850-L Issued in PA
Legal business name
PRIMARY CHIROPRACTIC CENTER P C
Practice address
610 Lancaster Ave
Berwyn, PA 19312-1663
Phone
(610) 251-9211
Fax
(610) 251-0228
NPI assigned
Jun 22, 2011
Last updated
Jun 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Dr. Elizabeth K. Carter, DCNPI 1124270376
Title
President
Phone
(610) 251-9211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NP0017X DC-005850-L PA Primary

Addresses

Primary practice location

610 Lancaster Ave
Berwyn, PA 19312-1663

Mailing address

610 Lancaster Ave
Berwyn, PA 19312-1663
Phone (610) 251-9211

National Provider Directory

National Provider Directory

Locations

610 Lancaster Ave
Berwyn, PA 19312
Phone (610) 251-9211

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": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1750677308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121663",
            "telephone_number": "610-251-9211",
            "fax_number": "610-251-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121663",
            "telephone_number": "610-251-9211",
            "fax_number": "610-251-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CHIROPRACTIC CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-251-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "PA",
            "license": "DC-005850-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.