Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790905776 Individual Practitioner Male Practitioner

Dr. Edward Kanner , DC

Chiropractor • Southampton, PA

Professional Overview & Biography Verified Profile Summary

Dr. Edward Kanner, DC is a registered healthcare professional specializing in Chiropractor in Southampton, PA. Practice services are available at 1300 INDUSTRIAL BLVD FL 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 Industrial Blvd Fl 1

Southampton, PA 189664029

Telephone 2152071559
Associated Practice Facility / Clinic
🏢 Healing Chiro Care Pc Facility NPI 1790463750

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Southampton, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.6 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Southampton, PA (4175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-30
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License PA DC005275L

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare
KA688402 (PA)
Commercial Insurance / Payer ID Unitedhealthcare
003349839 (PA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location August 30, 2022

Registered at 1300 INDUSTRIAL BLVD FL 1, SOUTHAMPTON, PA 189664029 (Tel: 2152071559)

NPI Profile Active December 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2013

Registered at 11880 BUSTLETON AVE STE 201, SUITE 201, PHILADELPHIA, PA 191162538 (Tel: 2152071559)

📍
Updated Business Mailing Address December 02, 2013

Registered at 11880 BUSTLETON AVE STE 201, SUITE 201, PHILADELPHIA, PA 191162538 (Tel: 2152071559)

👤
Provider Name / Credentials Updated December 02, 2013

Recorded as EDWARD KANNER, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2013

Chiropractor (License #DC005275L in PA)

🟢
Initial NPI Registration & Enumeration May 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790905776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2007
Last Update: August 30, 2022
Sole Proprietor: No

Mailing Address

11880 Bustleton Ave Ste 201, Suite 201

Philadelphia, PA 191162538

Phone: 2152071559

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.