Organization Active NPI

Uniontown Chiropractic Center Inc

  • Chiropractor
  • Uniontown, PA
National Provider Identifier
1033265152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
UNIONTOWN CHIROPRACTIC CENTER INC
Practice address
665 Cherry Tree LN
Uniontown, PA 15401-8947
Phone
(724) 437-1910
Fax
(724) 437-3227
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Garret Glenn Breakiron, D.C.NPI 1467508424
Title
President
Phone
(724) 437-1910

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 Primary

Addresses

Primary practice location

665 Cherry Tree LN
Uniontown, PA 15401-8947

Mailing address

665 Cherry Tree LN
Uniontown, PA 15401-8947
Phone (724) 437-1910

Other identifiers 1

IdentifierTypeStateIssuer
0011850530001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050606000346 PA Part B Supplier - Clinic/Group Practice 6507809126 Receives reassigned benefits from 3 practitioners
Practice locations: Uniontown, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033265152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CHERRY TREE LN",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018947",
            "telephone_number": "724-437-1910",
            "fax_number": "724-437-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CHERRY TREE LN",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018947",
            "telephone_number": "724-437-1910",
            "fax_number": "724-437-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIONTOWN CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREAKIRON",
        "authorized_official_first_name": "GARRET",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-437-1910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011850530001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.