Organization Active NPI

Advnatage Chiropractic and Rehabilitation

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1821236340
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVNATAGE CHIROPRACTIC AND REHABILITATION
Practice address
8400 Roosevelt Blvd
Suite 208
Philadelphia, PA 19152-2012
Phone
(215) 333-6160
Fax
(215) 333-6140
NPI assigned
Jan 22, 2009
Last updated
Jan 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Michael D Heverin
Title
Manager
Phone
(215) 579-7374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

8400 Roosevelt Blvd
Suite 208
Philadelphia, PA 19152-2012

Mailing address

PO Box 22342
Philadelphia, PA 19110-2342
Phone (215) 333-6160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1821236340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22342",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191102342",
            "telephone_number": "215-333-6160",
            "fax_number": "215-333-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 ROOSEVELT BLVD",
            "address_2": "SUITE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522012",
            "telephone_number": "215-333-6160",
            "fax_number": "215-333-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVNATAGE CHIROPRACTIC AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "HEVERIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-579-7374"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 Jan 22, 2009; 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.