Organization Active NPI

Advanced Family Chiropractic DC PC

  • Chiropractor
  • Malvern, PA
National Provider Identifier
1770749780
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006276 Issued in PA
Legal business name
ADVANCED FAMILY CHIROPRACTIC DC PC
Practice address
270 Lancaster Ave
C-1
Malvern, PA 19355-1858
Phone
(610) 408-9400
NPI assigned
Jul 30, 2008
Last updated
Apr 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Dr. Rick E Goldfine, DCNPI 1841203841
Title
Owner/Chiropractor
Phone
(610) 408-9400

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
Chiropractor 111N00000X DC006276 PA Primary

Addresses

Primary practice location

270 Lancaster Ave
C-1
Malvern, PA 19355-1858

Mailing address

270 Lancaster Ave
C-1
Malvern, PA 19355-1858
Phone (610) 408-9400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081105000619 PA Part B Supplier - Clinic/Group Practice 5991864985 Receives reassigned benefits from 1 practitioner
Practice locations: Malvern, PA

National Provider Directory

National Provider Directory

Locations

270 Lancaster Ave
Ste C1
Malvern, PA 19355
Phone (610) 408-9400

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": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1770749780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 LANCASTER AVE",
            "address_2": "C-1",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551858",
            "telephone_number": "610-408-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 LANCASTER AVE",
            "address_2": "C-1",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551858",
            "telephone_number": "610-408-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY CHIROPRACTIC DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "GOLDFINE",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "610-408-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.