Organization Active NPI

Komarek Chiropractic Center

  • Chiropractor
  • Washington Crossing, PA
National Provider Identifier
1922061803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-007450L Issued in PA
Legal business name
KOMAREK CHIROPRACTIC CENTER
Practice address
1313 Lord Sterling Rd
Suite #2
Washington Crossing, PA 18977-1345
Phone
(215) 321-4481
Fax
(215) 321-4482
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Peter Kallelis Jr., DC
Title
Owner
Phone
(215) 321-4481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-007450L PA Primary

Addresses

Primary practice location

1313 Lord Sterling Rd
Suite #2
Washington Crossing, PA 18977-1345

Mailing address

1313 Lord Sterling Rd
Suite #2
Washington Crossing, PA 18977-1345
Phone (215) 321-4481

National Provider Directory

National Provider Directory

Locations

1313 Lord Sterling Rd
Ste 2
Wshngtn Xing, PA 18977
Phone (215) 321-4481

Practitioners & affiliated clinicians

Practitioners 1

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": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922061803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 LORD STERLING RD",
            "address_2": "SUITE #2",
            "city": "WASHINGTON CROSSING",
            "state": "PA",
            "postal_code": "189771345",
            "telephone_number": "215-321-4481",
            "fax_number": "215-321-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 LORD STERLING RD",
            "address_2": "SUITE #2",
            "city": "WASHINGTON CROSSING",
            "state": "PA",
            "postal_code": "189771345",
            "telephone_number": "215-321-4481",
            "fax_number": "215-321-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMAREK CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALLELIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-321-4481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007450L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Crossing, PA

Sources for this page

  • 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.