NPIMap

Organization Active NPI

Your Chiropractic Center

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1982765863
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006016L Issued in PA
Legal business name
YOUR CHIROPRACTIC CENTER
Practice address
1601 Walnut St
Suite 514
Philadelphia, PA 19102-2903
Phone
(215) 564-6680
Fax
(215) 940-2218
NPI assigned
Dec 13, 2006
Reactivated
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Dr. Richard E Dunlap, DCNPI 1912948191
Title
Provider
Phone
(215) 564-6680

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 DC006016L PA Primary

Addresses

Primary practice location

1601 Walnut St
Suite 514
Philadelphia, PA 19102-2903

Mailing address

1601 Walnut St
Suite 514
Philadelphia, PA 19102-2903
Phone (215) 564-6680

Other identifiers 1

IdentifierTypeStateIssuer
2336152000OtherPAINDEP BLUE CROSS HMO

National Provider Directory

National Provider Directory

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1982765863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST",
            "address_2": "SUITE 514",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022903",
            "telephone_number": "215-564-6680",
            "fax_number": "215-940-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST",
            "address_2": "SUITE 514",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022903",
            "telephone_number": "215-564-6680",
            "fax_number": "215-940-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-02-04",
        "deactivation_date": "2007-04-17",
        "reactivation_date": "2007-07-05",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "215-564-6680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006016L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEP BLUE CROSS HMO",
            "identifier": "2336152000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.