KDL Chiropractic Rehab Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC005314L Issued in PA

Legal business name

KDL CHIROPRACTIC REHAB CENTER, INC

Practice address

700 Craigdell Rd
New Kensington, PA 15068-3366

Phone

(724) 337-6568

Fax

(724) 337-6550

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Lawrence York, DCNPI 1659348571

Title

Owner

Phone

(724) 337-6568

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence York, D.C.

  • Chiropractor
  • New Kensington, PA
  • NPI 1659348571
  Medicare reassignment NPD Authorized official
• Jonathan R Pallone, D.C.

  • Chiropractor
  • New Kensington, PA
  • NPI 1366419970
  NPD

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1043401912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CRAIGDELL RD",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150683366",
            "telephone_number": "724-337-6568",
            "fax_number": "724-337-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CRAIGDELL RD",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150683366",
            "telephone_number": "724-337-6568",
            "fax_number": "724-337-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDL CHIROPRACTIC REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-337-6568",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005314L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001417443",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J. Brungo, DMD
• W. Kahle Johnson Jr., D.D.S.
• Zechariah Edward Jung, DO
• Felicia Junod, LPC
• Prakash Kaur, MD
• John Eric Keil, MS,LCSW
• Grant Kissel
• Nina Ashley Kissell
• Kendra Renee Kitko
• Alissa Marie Klugh

• Chiropractor in New Kensington, PA
• Providers in New Kensington, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.