Organization Active NPI

Healthbridge Wynnewood LLC

  • Chiropractor
  • Wynnewood, PA
National Provider Identifier
1912562455
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTHBRIDGE WYNNEWOOD LLC
Doing business as
Healthbridge Chiropractic
Practice address
The Lankenau Medical Office Building -East
100 Lancaster Avenue Suite 353
Wynnewood, PA 19096-3433
Phone
(610) 228-2820
Fax
(610) 228-2218
NPI assigned
May 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Donna L. Staton
Title
Operations Manager
Phone
(215) 782-3891

Specialties & licenses 1

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

Addresses

Primary practice location

The Lankenau Medical Office Building -East
100 Lancaster Avenue Suite 353
Wynnewood, PA 19096-3433

Mailing address

PO Box 8918
Elkins Park, PA 19027-8918

Other names 2

  • Healthbridge Chiropractic Doing business as
  • Healthbridge Lankenau, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

100 E Lancaster Ave
Ofc
Wynnewood, PA 19096
Phone (610) 228-2820

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1912562455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8918",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190278918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE LANKENAU MEDICAL OFFICE BUILDING -EAST",
            "address_2": "100 LANCASTER AVENUE SUITE 353",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963433",
            "telephone_number": "610-228-2820",
            "fax_number": "610-228-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBRIDGE WYNNEWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "STATON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "215-782-3891"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthbridge Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthbridge Lankenau, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.