Organization Active NPI

Longwood Family Chiropractic, P.C.

  • Chiropractor
  • Kennett Square, PA
National Provider Identifier
1790186609
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009877 Issued in PA
Legal business name
LONGWOOD FAMILY CHIROPRACTIC, P.C.
Doing business as
Longwood Family Chiropractic
Practice address
400 Old Forge LN Ste 402
Kennett Square, PA 19348-1914
Phone
(484) 888-3450
Fax
(484) 667-2002
NPI assigned
Sep 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Dr. Tiia Jaagus Furniss, D.C.NPI 1578764163
Title
Chiropractor
Phone
(484) 888-3450

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 DC009877 PA Primary

Addresses

Primary practice location

400 Old Forge LN Ste 402
Kennett Square, PA 19348-1914

Mailing address

400 Old Forge LN
Suite 402
Kennett Square, PA 19348-1914
Phone (484) 888-3450

Other names 1

  • Longwood Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160126002402 PA Part B Supplier - Clinic/Group Practice 5193028025 Receives reassigned benefits from 1 practitioner
Practice locations: Kennett Square, PA

National Provider Directory

National Provider Directory

Locations

400 Old Forge Ln
Ste 402
Kennett Square, PA 19348
Phone (484) 888-3450

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": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1790186609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OLD FORGE LN",
            "address_2": "SUITE 402",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481914",
            "telephone_number": "484-888-3450",
            "fax_number": "484-770-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OLD FORGE LN STE 402",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481914",
            "telephone_number": "484-888-3450",
            "fax_number": "484-667-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWOOD FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "FURNISS",
        "authorized_official_first_name": "TIIA",
        "authorized_official_middle_name": "JAAGUS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "484-888-3450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longwood Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.