Organization Active NPI

Pottenger Family Chiropractic, LLC

  • Chiropractor
  • Beaver, PA
National Provider Identifier
1013265370
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010556 Issued in PA
Legal business name
POTTENGER FAMILY CHIROPRACTIC, LLC
Practice address
500 Market St Ste 107
Beaver, PA 15009-2998
Phone
(724) 774-3275
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. Tyson Pottenger, D.C.
Title
Doctor / Owner
Phone
(770) 855-9081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC010556 PA Primary

Addresses

Primary practice location

500 Market St Ste 107
Beaver, PA 15009-2998

Mailing address

500 Market St Ste 107
Beaver, PA 15009-2998

National Provider Directory

National Provider Directory

Locations

500 Market St
Ste 107
West Bridgewater, PA 15009
Phone (412) 801-7889

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1013265370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARKET ST STE 107",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET ST STE 107",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092998",
            "telephone_number": "724-774-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTENGER FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "POTTENGER",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "DOCTOR / OWNER",
        "authorized_official_telephone_number": "770-855-9081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.