Wall Chiropractic Center,P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC02324 Issued in NJ

Legal business name

WALL CHIROPRACTIC CENTER,P.C.

Practice address

2510 Belmar Blvd
Wall, NJ 07719-3948

Phone

(732) 681-7766

Fax

(732) 681-7511

NPI assigned

Oct 19, 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. John J Duerkes, D.C.

Title

Chiropractor/Owner/President

Phone

(732) 681-7766

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912089186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 BELMAR BLVD",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193948",
            "telephone_number": "732-681-7766",
            "fax_number": "732-681-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BELMAR BLVD",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193948",
            "telephone_number": "732-681-7766",
            "fax_number": "732-681-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL CHIROPRACTIC CENTER,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUERKES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "732-681-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC02324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Wall, NJ
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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.