Individual provider Active NPI

Wendy B Attadgie, DC

  • Chiropractor
  • Southampton, PA
National Provider Identifier
1811949043
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003924L Issued in PA
Practice address
654 Knowles Ave
Southampton, PA 18966-4102
Phone
(215) 355-9337
NPI assigned
May 16, 2006
Last updated
Apr 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003924L PA Primary

Addresses

Primary practice location

654 Knowles Ave
Southampton, PA 18966-4102

Mailing address

654 Knowles Ave
Southampton, PA 18966-4102
Phone (215) 355-9337

Other identifiers 1

IdentifierTypeStateIssuer
577725OtherHIGHMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000882 PA Practitioner - Chiropractic 9830116854 Practice locations: Southampton, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

654 Knowles Ave
Southampton, PA 18966-4102
Phone (215) 355-9337

654 Knowles Ave
Southampton, PA 18966-4235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC003924LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Wellness Center Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1811949043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 KNOWLES AVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664102",
            "telephone_number": "215-355-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 KNOWLES AVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664102",
            "telephone_number": "215-355-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTADGIE",
        "first_name": "WENDY",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003924L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "577725",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.