Individual provider Active NPI

John Immanuel Colon Velazquez, DC

  • Chiropractor
  • Warminster, PA
National Provider Identifier
1952967754
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011476 Issued in PA
Practice address
144 York Rd # 100
Warminster, PA 18974-4521
Phone
(215) 675-8009
NPI assigned
May 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011476 PA Primary

Addresses

Primary practice location

144 York Rd # 100
Warminster, PA 18974-4521

Mailing address

409 Susan Cir
North Wales, PA 19454-1416
Phone (787) 672-5252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611001310 PA Practitioner - Chiropractic 9638402449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greco Family ChiropracticGroup PAC ID 3577507110, 3 clinicians

Practice addresses (Care Compare)

144 York Rd
Suite 100
Warminster, PA 18974-4521
Phone (215) 675-8009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011476PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro First Wellness Clinic Chiropractor CurrentSince Nov 21, 2023 Accepting new patients

Locations

752 N Bethlehem Pike
#D
Lower Gwynedd, PA 19002
Phone (267) 400-5505

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1952967754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SUSAN CIR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541416",
            "telephone_number": "787-672-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 YORK RD # 100",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744521",
            "telephone_number": "215-675-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON VELAZQUEZ",
        "first_name": "JOHN",
        "middle_name": "IMMANUEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.