NPIMap

Organization Active NPI

Kingston Chiropractic LLC

  • Chiropractor
  • Kingston, PA
National Provider Identifier
1881669638
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KINGSTON CHIROPRACTIC LLC
Practice address
183 Market St
Suite 201
Kingston, PA 18704-5444
Phone
(570) 718-6565
Fax
(570) 714-8750
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Mrs. Suzanne Aboutanos-Fellerman
Title
President
Phone
(570) 718-6565

Specialties & licenses 1

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

Addresses

Primary practice location

183 Market St
Suite 201
Kingston, PA 18704-5444

Mailing address

183 Market St
Suite 201
Kingston, PA 18704-5444
Phone (570) 718-6565

National Provider Directory

National Provider Directory

Locations

183 Market St
Ste 201
Kingston, PA 18704
Phone (570) 714-9322

Practitioners & affiliated clinicians

Practitioners 3

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": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1881669638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 MARKET ST",
            "address_2": "SUITE 201",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045444",
            "telephone_number": "570-718-6565",
            "fax_number": "570-714-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 MARKET ST",
            "address_2": "SUITE 201",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045444",
            "telephone_number": "570-718-6565",
            "fax_number": "570-714-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "ABOUTANOS-FELLERMAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-718-6565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.