Main Street Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAIN STREET CHIROPRACTIC CENTER

Doing business as

Evolution Health Center

Practice address

520 Greenhill Ave
Wilmington, DE 19805-1851

Phone

(302) 390-2402

NPI assigned

Aug 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tarak N Patel, DCNPI 1083056683

Title

Owner/Provider

Phone

(856) 904-3061

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Evolution Health Center Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tarak Navin Patel, D.C.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1083056683
  NPD Authorized official

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1952039968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 GREENHILL AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051851",
            "telephone_number": "302-390-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 GREENHILL AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051851",
            "telephone_number": "302-390-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TARAK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "856-904-3061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1083056683",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036188000001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.evolvechirocare.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "520 Greenhill Ave",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198051851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evolution Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Patrick Mahoney, OD
• Henrietta M. Mahoney, MD
• Kathryn Mahoney
• Nancy B. Mahoney, LPCMH
• Richard J Maichle, LCSW BCD
• Daniel Maistre, PA-C
• Shalini Maitra, M.D.
• Kathryn Majarian
• Jafid Sebastian Majjul, MD
• Garnisha Majors, B.A,CADC

• Chiropractor in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.