Active NPI
Gregg F Rhodes, DC
- Chiropractor
- Montoursville, PA
National Provider Identifier
1023000825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC002857L
- Practice address
- 333 Broad St
Montoursville, PA 17754-2205 - Phone
- (570) 368-2897
- Fax
- (570) 368-2852
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC002857L | PA | Primary |
Addresses
Primary practice location
333 Broad St
Montoursville, PA 17754-2205
Mailing address
333 Broad St
Montoursville, PA 17754-2205
Phone (570) 368-2897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009847250001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC002857L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler B Wilt D.C., P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Montoursville, PA
- NPI 1437514833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1023000825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 BROAD ST",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177542205",
"telephone_number": "570-368-2897",
"fax_number": "570-368-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 BROAD ST",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177542205",
"telephone_number": "570-368-2897",
"fax_number": "570-368-2852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "GREGG",
"middle_name": "F",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC002857L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009847250001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montoursville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.