NPIMap

Organization Active NPI

Jmsejb LLC

Doing business as Philadelphia Chiropractic

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1871860577
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010465 Issued in PA
Legal business name
JMSEJB LLC
Doing business as
Philadelphia Chiropractic
Practice address
33 S 3Rd St
Philadelphia, PA 19106-2865
Phone
(215) 928-9171
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Dr. Karlos Boghosian
Title
Member
Phone
(203) 520-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC010465 PA Primary

Addresses

Primary practice location

33 S 3Rd St
Philadelphia, PA 19106-2865

Mailing address

24 Lewis St
Hartford, CT 06103-2501

Other names 1

  • PHILADELPHIA CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1871860577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LEWIS ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S 3RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062865",
            "telephone_number": "215-928-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMSEJB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "BOGHOSIAN",
        "authorized_official_first_name": "KARLOS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-520-2211",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILADELPHIA CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.