Organization Active NPI

New Castle Chiropractic, PA

Doing business as dba Main Street Family Chiropractic

  • Chiropractor
  • Newark, DE
National Provider Identifier
1851335277
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F10000368 Issued in DE
Legal business name
NEW CASTLE CHIROPRACTIC, PA
Doing business as
dba Main Street Family Chiropractic
Practice address
280 E Main St
Suite 111
Newark, DE 19711-7333
Phone
(302) 737-8667
NPI assigned
Jun 15, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW CASTLE CHIROPRACTICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Patrick J Roberts, D.C.NPI 1538268925
Title
President
Phone
(302) 737-8667

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
Chiropractor 111N00000X F10000368 DE Primary

Addresses

Primary practice location

280 E Main St
Suite 111
Newark, DE 19711-7333

Mailing address

280 E Main St
Suite 111
Newark, DE 19711-7333
Phone (302) 737-8667

Other names 1

  • dba Main Street Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000319 DE Part B Supplier - Clinic/Group Practice 7911174081 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Castle, DE; Newark, DE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
New Castle Chiro Ctr PA2 organizations share this tax ID, including this one
Part of
New Castle Chiro Ctr PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

280 E Main St
Ste 111
Newark, DE 19711
Phone (302) 737-8667

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1851335277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 E MAIN ST",
            "address_2": "SUITE 111",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117333",
            "telephone_number": "302-737-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 E MAIN ST",
            "address_2": "SUITE 111",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117333",
            "telephone_number": "302-737-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CASTLE CHIROPRACTIC, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW CASTLE CHIROPRACTIC",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-737-8667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F10000368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Main Street Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.