Organization Active NPI

Dr Stuart K Himmelstein DC PC

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1780613448
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006032L Issued in PA
Legal business name
DR STUART K HIMMELSTEIN DC PC
Practice address
3392 Red Lion Rd
Philadelphia, PA 19114
Phone
(215) 632-3074
Fax
(215) 672-3373
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stuart Kevin Himmelstein, DC
Title
President
Phone
(215) 632-3074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC006032L PA Primary

Addresses

Primary practice location

3392 Red Lion Rd
Philadelphia, PA 19114

Mailing address

PO Box 321
Huntingdon Valley, PA 19006-0321
Phone (215) 632-3074

National Provider Directory

National Provider Directory

Locations

2981 Grant Ave
Philadelphia, PA 19114
Phone (215) 632-3074

Practitioners & affiliated clinicians

Practitioners 2

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780613448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190060321",
            "telephone_number": "215-632-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3392 RED LION RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "215-632-3074",
            "fax_number": "215-672-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STUART K HIMMELSTEIN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIMMELSTEIN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-632-3074",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006032L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.