Organization Active NPI

Summit Chiropractic & Wellness Center LLC

  • Chiropractor
  • Cape May Court House, NJ
National Provider Identifier
1932692811
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00748100 Issued in NJ
Legal business name
SUMMIT CHIROPRACTIC & WELLNESS CENTER LLC
Practice address
9 Broadway Unit a
Cape May Court House, NJ 08210
Phone
(770) 685-8191
NPI assigned
Jun 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Dr. Chad Billiris, DCNPI 1093256679
Title
Owner
Phone
(609) 778-2773

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 38MC00748100 NJ Primary

Addresses

Primary practice location

9 Broadway Unit a
Cape May Court House, NJ 08210

Mailing address

9 Broadway # SS
Cape May Court House, NJ 08210-1937
Phone (609) 778-2773

Other practice location 1

3156 US 9
Rio Grande, NJ 08242
Phone (770) 685-8191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180620000195 NJ Part B Supplier - Clinic/Group Practice 3779838594 Receives reassigned benefits from 1 practitioner
Practice locations: Cape May Court House, NJ

National Provider Directory

National Provider Directory

Locations

9 Broadway
Unit A
Cape May Court House, NJ 08210
Phone (770) 685-8191

410 S Main St
Cape May Court House, NJ 08210
Phone (609) 463-1488

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": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1932692811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BROADWAY # SS",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101937",
            "telephone_number": "609-778-2773",
            "fax_number": "609-778-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BROADWAY UNIT A",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "08210",
            "telephone_number": "770-685-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3156 US 9",
            "address_purpose": "LOCATION",
            "city": "Rio Grande",
            "state": "NJ",
            "postal_code": "08242",
            "country_code": "US",
            "telephone_number": "770-685-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "BILLIRIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-778-2773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00748100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.