Organization Active NPI

West Paterson Family Chiropractic Center

  • Chiropractor
  • West Paterson, NJ
National Provider Identifier
1871652339
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WEST PATERSON FAMILY CHIROPRACTIC CENTER
Practice address
401 Mount Pleasant Ave
West Paterson, NJ 07424-2660
Phone
(973) 785-4411
Fax
(973) 785-3164
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Glenn Krapels, D.C.NPI 1629016712
Title
Partner
Phone
(973) 785-4411

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X NJ Primary

Addresses

Primary practice location

401 Mount Pleasant Ave
West Paterson, NJ 07424-2660

Mailing address

401 Mount Pleasant Ave
West Paterson, NJ 07424-2660
Phone (973) 785-4411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080617000419 NJ Part B Supplier - Clinic/Group Practice 7618048786 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Park, NJ

National Provider Directory

National Provider Directory

Locations

401 Mount Pleasant Ave
Woodland Park, NJ 07424
Phone (973) 785-4411

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1871652339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MOUNT PLEASANT AVE",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242660",
            "telephone_number": "973-785-4411",
            "fax_number": "973-785-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MOUNT PLEASANT AVE",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242660",
            "telephone_number": "973-785-4411",
            "fax_number": "973-785-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PATERSON FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "KRAPELS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-785-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.