Eagle Chiropractic at Pottstown

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC004743L Issued in PA

Legal business name

EAGLE CHIROPRACTIC AT POTTSTOWN

Practice address

2091 Pottstown Pike
Pottstown, PA 19465-8671

Phone

(610) 469-0700

Fax

(610) 469-8502

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew E. Gottlieb, D. C.

Title

Owner

Phone

(610) 469-0700

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi Pendleton, D.C.

  • Chiropractor
  • Pottstown, PA
  • NPI 1639186745
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1851423784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 POTTSTOWN PIKE",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194658671",
            "telephone_number": "610-469-0700",
            "fax_number": "610-469-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 POTTSTOWN PIKE",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194658671",
            "telephone_number": "610-469-0700",
            "fax_number": "610-469-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE CHIROPRACTIC AT POTTSTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-469-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004743L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "673170",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5931123",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00139115004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Duran, P.T.
• Laurette Kay Durkin
• Sheryl Jean Duvivier
• Corey Solomon Dweck, MS
• Jessica Dyer
• Eagles Oral Surgery
• Megan Ebling, BA
• Tanya M Ebling
• Eckerd Corporation
• Brayden L Eckert

• Chiropractor in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.