Organization Active NPI

Fitzgerald Family Chiropractic

  • Chiropractor
  • Doylestown, PA
National Provider Identifier
1770964231
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010758 Issued in PA
Legal business name
FITZGERALD FAMILY CHIROPRACTIC
Practice address
5008 Sundance CT
Doylestown, PA 18902-1279
Phone
(267) 614-6916
NPI assigned
Jun 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Dr. James FitzgeraldNPI 1275965428
Title
Chiropractor
Phone
(267) 614-6916

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 DC010758 PA Primary

Addresses

Primary practice location

5008 Sundance CT
Doylestown, PA 18902-1279

Mailing address

5008 Sundance CT
Doylestown, PA 18902-1279
Phone (267) 614-6916

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151016000220 PA Part B Supplier - Clinic/Group Practice 7618286550 Receives reassigned benefits from 1 practitioner
Practice locations: Doylestown, PA

National Provider Directory

National Provider Directory

Locations

1456 Ferry Rd
Unit 305A
Doylestown, PA 18901
Phone (215) 340-9100

Practitioners & affiliated clinicians

Practitioners 1

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": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1770964231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 SUNDANCE CT",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021279",
            "telephone_number": "267-614-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 SUNDANCE CT",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021279",
            "telephone_number": "267-614-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZGERALD FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "267-614-6916",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.