Organization Active NPI

Kennett Chiropractic Center PA

  • Chiropractor
  • Kennett Square, PA
National Provider Identifier
1871677500
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002769L Issued in PA
Legal business name
KENNETT CHIROPRACTIC CENTER PA
Practice address
400 McFarlan Rd
Suite 6
Kennett Square, PA 19348-2477
Phone
(610) 925-0444
Fax
(610) 925-0895
NPI assigned
Oct 25, 2006
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Dr. David A. Shmukler, DCNPI 1629180377
Title
President
Phone
(610) 925-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002769L PA Primary

Addresses

Primary practice location

400 McFarlan Rd
Suite 6
Kennett Square, PA 19348-2477

Mailing address

400 McFarlan Rd
Suite 6
Kennett Square, PA 19348-2477
Phone (610) 925-0444

Other identifiers 1

IdentifierTypeStateIssuer
0480594000OtherPACHIROPRACTIC GROUP #

National Provider Directory

National Provider Directory

Locations

219 N Union St
Kennett Square, PA 19348
Phone (610) 925-0444

400 McFarlan Rd
Ste 6
Kennett Square, PA 19348
Phone (610) 925-0444

Practitioners & affiliated clinicians

Practitioners 1

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1871677500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MCFARLAN RD",
            "address_2": "SUITE 6",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482477",
            "telephone_number": "610-925-0444",
            "fax_number": "610-925-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MCFARLAN RD",
            "address_2": "SUITE 6",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482477",
            "telephone_number": "610-925-0444",
            "fax_number": "610-925-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETT CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "SHMUKLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-925-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002769L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC GROUP #",
            "identifier": "0480594000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.