Land Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007625L Issued in PA

Legal business name

LAND CHIROPRACTIC PC

Practice address

617 N Bethlehem Pike
Suite C
Lower Gwynedd, PA 19002-2507

Phone

(215) 643-0700

Fax

(215) 643-0119

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul K Land, DC

Title

President

Phone

(215) 643-0700

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1770501926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N BETHLEHEM PIKE",
            "address_2": "SUITE C",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022507",
            "telephone_number": "215-643-0700",
            "fax_number": "215-643-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N BETHLEHEM PIKE",
            "address_2": "SUITE C",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022507",
            "telephone_number": "215-643-0700",
            "fax_number": "215-643-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAND CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-643-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007625L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC GROUP",
            "identifier": "2346977000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP",
            "identifier": "3741136",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP",
            "identifier": "LA1671476",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Lower Gwynedd, PA
• Providers in Lower Gwynedd, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.