Organization Active NPI

Chiropractic Wellness Center

  • Chiropractor
  • Southampton, PA
National Provider Identifier
1922050194
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003924L Issued in PA
Legal business name
CHIROPRACTIC WELLNESS CENTER
Practice address
654 Knowles Ave
Southampton, PA 18966-4102
Phone
(215) 355-9337
Fax
(215) 355-8799
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Wendy B Attadgie, DCNPI 1811949043
Title
Chiropractor/Owner
Phone
(215) 355-9337

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 DC003924L PA Primary

Addresses

Primary practice location

654 Knowles Ave
Southampton, PA 18966-4102

Mailing address

654 Knowles Ave
Southampton, PA 18966-4102
Phone (215) 355-9337

Other identifiers 1

IdentifierTypeStateIssuer
0164693000OtherIBC

National Provider Directory

National Provider Directory

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1922050194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 KNOWLES AVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664102",
            "telephone_number": "215-355-9337",
            "fax_number": "215-335-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 KNOWLES AVE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664102",
            "telephone_number": "215-355-9337",
            "fax_number": "215-355-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "ATTADGIE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "215-355-9337",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003924L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0164693000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.