Collins Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COLLINS CHIROPRACTIC P.C.

Practice address

648 A East Chester Pike
Ridley Park, PA 19078

Phone

(610) 532-3760

Fax

(610) 532-3762

NPI assigned

Dec 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael P Collins, D.C.

Title

Owner

Phone

(610) 532-3760

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881758506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 A EAST CHESTER PIKE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "19078",
            "telephone_number": "610-532-3760",
            "fax_number": "610-532-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 A EAST CHESTER PIKE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "19078",
            "telephone_number": "610-532-3760",
            "fax_number": "610-532-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-532-3760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "702359",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.