Organization Active NPI

Westside Wellness Chiropractic Center

  • Chiropractor
  • Wayne, PA
National Provider Identifier
1952461683
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009341 Issued in PA
Legal business name
WESTSIDE WELLNESS CHIROPRACTIC CENTER
Practice address
230 Sugartown Rd
Suite 60
Wayne, PA 19087-3029
Phone
(610) 687-8988
NPI assigned
Dec 11, 2006
Last updated
May 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Dr. Todd Serinsky, DCNPI 1376601013
Title
Doctor
Phone
(610) 687-8988

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
Chiropractor 111N00000X DC009341 PA Primary

Addresses

Primary practice location

230 Sugartown Rd
Suite 60
Wayne, PA 19087-3029

Mailing address

230 Sugartown Rd
Suite 60
Wayne, PA 19087-6003

Other identifiers 3

IdentifierTypeStateIssuer
2400364000OtherPAINDEPENDENCE BLUE CROSS
1695784OtherPAHIGHMARK
7531628OtherPAAETNA PPO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050328000452 PA Part B Supplier - Clinic/Group Practice 0648226274 Receives reassigned benefits from 2 practitioners
Practice locations: Wayne, PA

National Provider Directory

National Provider Directory

Locations

230 Sugartown Rd
Ste 60
Wayne, PA 19087
Phone (610) 687-8988

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1952461683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SUGARTOWN RD",
            "address_2": "SUITE 60",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190876003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SUGARTOWN RD",
            "address_2": "SUITE 60",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873029",
            "telephone_number": "610-687-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE WELLNESS CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "SERINSKY",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "610-687-8988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2400364000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1695784",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7531628",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.