Chris Peechatka Corrective Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 006824L Issued in PA

Legal business name

CHRIS PEECHATKA CORRECTIVE CHIROPRACTIC PC

Practice address

3199 Route 611
Bartonsville, PA 18321-7808

Phone

(570) 629-6829

Fax

(866) 584-6408

NPI assigned

Aug 22, 2008

Organization subpart

No

Name

Dr. Christopher Peechatka, DCNPI 1265467153

Title

Owner

Phone

(570) 629-6829

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

• Christopher Guy Peechatka, D.C.

  • Chiropractor
  • Bartonsville, PA
  • NPI 1265467153

  PA

  Medicare reassignment Authorized official

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2018.

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1043467848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 ROUTE 611",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217808",
            "telephone_number": "570-629-6829",
            "fax_number": "866-584-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 ROUTE 611",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217808",
            "telephone_number": "570-629-6829",
            "fax_number": "866-584-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS PEECHATKA CORRECTIVE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "PEECHATKA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-629-6829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 006824L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF NORTHEASTERN PENNSYLVANIA",
            "identifier": "598092",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "598092",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY LIFE INSURANCE",
            "identifier": "598092",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bartonsville, PA
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.