NPIMap

Organization Active NPI

North Wales Family Chiropractic, LLC

  • Chiropractor
  • Lansdale, PA
National Provider Identifier
1760636633
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007023L Issued in PA
Legal business name
NORTH WALES FAMILY CHIROPRACTIC, LLC
Practice address
490 Pennbrook Pkwy
Lansdale, PA 19446-3818
Phone
(215) 361-6130
Fax
(215) 361-7860
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Dr. Tammy Lynn Portolese, D.C.NPI 1306848395
Title
Chiropractor/Owner
Phone
(215) 361-6130

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 DC007023L PA Primary

Addresses

Primary practice location

490 Pennbrook Pkwy
Lansdale, PA 19446-3818

Mailing address

490 Pennbrook Pkwy
Lansdale, PA 19446-3818
Phone (215) 361-6130

Other names 1

  • PORTOLESE FAMILY CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

490 Pennbrook Pkwy
Lansdale, PA 19446
Phone (215) 361-6130

Practitioners & affiliated clinicians

Practitioners 3

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": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1760636633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 PENNBROOK PKWY",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194463818",
            "telephone_number": "215-361-6130",
            "fax_number": "215-361-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 PENNBROOK PKWY",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194463818",
            "telephone_number": "215-361-6130",
            "fax_number": "215-361-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WALES FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "PORTOLESE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "215-361-6130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007023L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORTOLESE FAMILY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.