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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3315 Mauch Chunk Rd
Coplay, PA 18037
Phone (610) 769-7700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 22, 2011.

{
    "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

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Sources for this page

Verify at the official NPI Registry.