Individual provider Active NPI

David J. Dolan, DC

  • Nutrition Chiropractor
  • Reading, PA
National Provider Identifier
1851404446
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC003910L Issued in PA
Practice address
227 E Lancaster Ave
Reading, PA 19607-2614
Phone
(610) 775-1700
Fax
(610) 775-4496
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X DC003910L PA Primary

Addresses

Primary practice location

227 E Lancaster Ave
Reading, PA 19607-2614

Mailing address

227 E Lancaster Ave
Reading, PA 19607-2614
Phone (610) 775-1700

Other identifiers 1

IdentifierTypeStateIssuer
BC50000230OtherPABLUE CROSS CHIROPRACTOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000513 PA Practitioner - Chiropractic 8325120785 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

227 E Lancaster Ave
Shillington, PA 19607-2614
Phone (610) 775-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC003910LPAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Dolan, DC, PC CurrentSince Jan 1, 2015 Accepting new patients
World Rehabilitation Inc Past Accepting new patients

Locations

227 E Lancaster Ave
Shillington, PA 19607
Phone (610) 372-6646

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1851404446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E LANCASTER AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196072614",
            "telephone_number": "610-775-1700",
            "fax_number": "610-775-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E LANCASTER AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196072614",
            "telephone_number": "610-775-1700",
            "fax_number": "610-775-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "PA",
            "license": "DC003910L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CHIROPRACTOR",
            "identifier": "BC50000230",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.