Organization Active NPI

Windsor Hills Family Chiropractic Center, LLC

  • Rehabilitation Chiropractor
  • Hatfield, PA
National Provider Identifier
1790986362
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC005799L Issued in PA
Legal business name
WINDSOR HILLS FAMILY CHIROPRACTIC CENTER, LLC
Practice address
2738 Fischer Rd
Hatfield, PA 19440-2899
Phone
(215) 412-2090
Fax
(215) 412-2090
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Dr. Claire L Defazio, DCNPI 1346206885
Title
Owner
Phone
(215) 412-2090

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X DC005799L PA Primary

Addresses

Primary practice location

2738 Fischer Rd
Hatfield, PA 19440-2899

Mailing address

2738 Fischer Rd
Hatfield, PA 19440-2899
Phone (215) 412-2090

Other identifiers 1

IdentifierTypeStateIssuer
1346206885OtherPANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080722000275 PA Part B Supplier - Clinic/Group Practice 6800969015 Receives reassigned benefits from 1 practitioner
Practice locations: Hatfield, PA

National Provider Directory

National Provider Directory

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1790986362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 FISCHER RD",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194402899",
            "telephone_number": "215-412-2090",
            "fax_number": "215-412-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 FISCHER RD",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194402899",
            "telephone_number": "215-412-2090",
            "fax_number": "215-412-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR HILLS FAMILY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "DEFAZIO",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-412-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC005799L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346206885",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.