Dr. J. Leah Garlan DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 008808 Issued in PA

Legal business name

DR. J. LEAH GARLAN DC INC

Practice address

1281 RT 113 Unit B
Blooming Glen, PA 18911

Phone

(215) 257-3938

Fax

(215) 257-3646

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Johanna L Garlan, DCNPI 1629046032

Title

President

Phone

(215) 257-3938

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PENNRIDGE WELLNESS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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

• Johanna Leah Garlan, DC

  • Chiropractor
  • Blooming Glen, PA
  • NPI 1629046032
  Medicare reassignment NPD Authorized official
• Andrew De Saro, DC..

  • Chiropractor
  • Richboro, PA
  • NPI 1023215506
  Medicare reassignment NPD
• Heidi Beth Bencsik, D.C.

  • Chiropractor
  • Doylestown, PA
  • NPI 1124152897
  NPD (past)
• Timothy Joseph Garrison, LMT

  • Massage Therapist
  • Sellersville, PA
  • NPI 1861754905
  NPD (past)
• Courtney Elysha Gray, DC

  • Chiropractor
  • Blooming Glen, PA
  • NPI 1720352420
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1902961253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "BLOOMING GLEN",
            "state": "PA",
            "postal_code": "189110027",
            "telephone_number": "215-257-3938",
            "fax_number": "215-257-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 RT 113 UNIT B",
            "city": "BLOOMING GLEN",
            "state": "PA",
            "postal_code": "18911",
            "telephone_number": "215-257-3938",
            "fax_number": "215-257-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. J. LEAH GARLAN DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "GARLAN",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-257-3938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 008808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "076343WK2",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENNRIDGE WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Charles Conroy, D.C
• Kelly J Durie, CRNP PMHNP-BC
• Kelsi Fontaine, LPC, NCC
• Johanna Leah Garlan, DC
• Courtney Elysha Gray, DC
• Mindy Lu Ivie

• Chiropractor in Blooming Glen, PA
• Providers in Blooming Glen, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.