North Whitehall Chiropractic PC
Organization Active NPI Chiropractor · Coplay, PA
NPI 1902175706 · NPPES record last updated Dec 22, 2011
Key facts
- NPI
- 1902175706
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC010360 (PA)
- Legal business name
- NORTH WHITEHALL CHIROPRACTIC PC
- Practice address
- 3315 Mauch Chunk Rd
Coplay, PA 18037-2074 - Phone
- (610) 769-7700
- NPI assigned
- Dec 22, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. David Jason Roy, D.C.
- Title
- President/ Chiropractor
- Phone
- (610) 769-7700
Practitioners 2
-
Mark G Kohn, D.C.,
National Provider Directory
Locations
3315 Mauch Chunk Rd
Coplay, PA 18037
Phone (610) 769-7700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC010360 | PA | Yes |
Addresses
Primary practice location
3315 Mauch Chunk Rd
Coplay, PA 18037-2074
Mailing address
3315 Mauch Chunk Rd
Coplay, PA 18037-2074
Phone (610) 769-7700
NPI Registry JSON
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324512000000",
"number": "1902175706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 MAUCH CHUNK RD",
"city": "COPLAY",
"state": "PA",
"postal_code": "180372074",
"telephone_number": "610-769-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 MAUCH CHUNK RD",
"city": "COPLAY",
"state": "PA",
"postal_code": "180372074",
"telephone_number": "610-769-7700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH WHITEHALL CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A",
"authorized_official_last_name": "ROY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "PRESIDENT/ CHIROPRACTOR",
"authorized_official_telephone_number": "610-769-7700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coplay, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.