NPIMap

Organization Active NPI

Bidwell Chiropractic Center PC

  • Chiropractor
  • Moorestown, NJ
National Provider Identifier
1902835085
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04747 Issued in NJ
Legal business name
BIDWELL CHIROPRACTIC CENTER PC
Practice address
212 West Route 38
Suite 100
Moorestown, NJ 08057
Phone
(856) 273-1551
Fax
(856) 273-9988
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Dr. Sylvia Anne Bidwell, DCNPI 1952428252
Title
Chiropractor Owner
Phone
(856) 273-1551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MC04747 NJ Primary

Addresses

Primary practice location

212 West Route 38
Suite 100
Moorestown, NJ 08057

Mailing address

212 West Route 38
Suite 100
Moorestown, NJ 08057
Phone (856) 273-1551

Other identifiers 1

IdentifierTypeStateIssuer
7755104MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080102000215 NJ Part B Supplier - Clinic/Group Practice 1557441664 Receives reassigned benefits from 2 practitioners
Practice locations: Moorestown, NJ

National Provider Directory

National Provider Directory

Locations

212 W Route 38
Ste 100
Moorestown, NJ 08057
Phone (856) 273-1551

Practitioners & affiliated clinicians

Practitioners 2

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1902835085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WEST ROUTE 38",
            "address_2": "SUITE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-273-1551",
            "fax_number": "856-273-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WEST ROUTE 38",
            "address_2": "SUITE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-273-1551",
            "fax_number": "856-273-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIDWELL CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "BIDWELL",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "856-273-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7755104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.