NPIMap

Organization Active NPI

Mt Jackson Chiropractic Center

  • Chiropractor
  • New Castle, PA
National Provider Identifier
1003847260
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004657L Issued in PA
Legal business name
MT JACKSON CHIROPRACTIC CENTER
Practice address
500 Mt Jackson Road
New Castle, PA 16102-2618
Phone
(724) 667-7160
Fax
(724) 667-8807
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Mr. David E Hosaflook, D.C.NPI 1649279985
Title
Owner Doctor
Phone
(724) 667-7160

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 DC004657L PA Primary

Addresses

Primary practice location

500 Mt Jackson Road
New Castle, PA 16102-2618

Mailing address

500 Mt Jackson Road
New Castle, PA 16102-2618
Phone (724) 667-7160

Other identifiers 2

IdentifierTypeStateIssuer
418693OtherPAHIGHMARK GROUP NUMBER
Y18693OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

500 Mount Jackson Rd
New Castle, PA 16102
Phone (724) 667-7160

Practitioners & affiliated clinicians

Practitioners 2

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1003847260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MT JACKSON ROAD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161022618",
            "telephone_number": "724-667-7160",
            "fax_number": "724-667-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MT JACKSON ROAD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161022618",
            "telephone_number": "724-667-7160",
            "fax_number": "724-667-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT JACKSON CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "HOSAFLOOK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "724-667-7160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004657L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP NUMBER",
            "identifier": "418693",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "Y18693",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.