Individual provider Active NPI

David Allen Kytchak, D.C.

  • Chiropractor
  • Greenville, PA
National Provider Identifier
1013042324
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005887L Issued in PA
Practice address
418 S Main St
Greenville, PA 16125-1773
Phone
(724) 588-7550
Fax
(724) 588-1788
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
No

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 DC005887L PA Primary

Addresses

Primary practice location

418 S Main St
Greenville, PA 16125-1773

Mailing address

418 S Main St
Greenville, PA 16125-1773
Phone (724) 588-7550

Other identifiers 2

IdentifierTypeStateIssuer
216200OtherPAUPMC
0001509133MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000468 PA Practitioner - Chiropractic 2365619962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kytchak Chiropractic Center LLCGroup PAC ID 6305013905, 2 clinicians

Practice addresses (Care Compare)

418 S Main St
Greenville, PA 16125-1773
Phone (724) 588-7550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC005887LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kytchak Chiropractic Center LLC Chiropractor CurrentSince Oct 28, 2011 Accepting new patients
Kytchak Chiropractic Center Chiropractor Past Accepting new patients

Locations

418 S Main St
Greenville, PA 16125
Phone (724) 588-7550

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013042324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251773",
            "telephone_number": "724-588-7550",
            "fax_number": "724-588-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251773",
            "telephone_number": "724-588-7550",
            "fax_number": "724-588-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYTCHAK",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005887L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "216200",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001509133",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, 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.
  • 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.