Individual provider Active NPI

Anthony Michael Odell, D.C.

  • Chiropractor
  • Reading, PA
National Provider Identifier
1962545475
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009570 Issued in PA
Practice address
2509 Perkiomen Ave
Reading, PA 19606-2051
Phone
(610) 370-2580
Fax
(610) 370-1765
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009570 PA Primary

Addresses

Primary practice location

2509 Perkiomen Ave
Reading, PA 19606-2051

Mailing address

22D Doral Dr
Reading, PA 19607-3395
Phone (845) 519-4408

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000621 PA Practitioner - Chiropractic 4587756838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009570PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Yucha Medical Pain Management and Chiropractic Rehabilitation, LLC Chiropractor CurrentSince Jan 1, 2019 Accepting new patients
Randolph E. Yucha D.C., P.C. Chiropractor CurrentSince Jan 1, 2019 Accepting new patients
Healthfirst Chiropractic & Wellness, Inc. Chiropractor Past Accepting new patients

Locations

435 W Cedarville Rd
Pottstown, PA 19465
Phone (610) 326-2706

Organizations & group practices 3

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962545475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22D DORAL DR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196073395",
            "telephone_number": "845-519-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 PERKIOMEN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062051",
            "telephone_number": "610-370-2580",
            "fax_number": "610-370-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.