Organization Active NPI

Blackhawk Chiropractic,Inc

  • Chiropractor
  • Darlington, PA
National Provider Identifier
1063590933
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC05395L Issued in PA
Legal business name
BLACKHAWK CHIROPRACTIC,INC
Practice address
3602 Darlington Rd
Darlington, PA 16115-2524
Phone
(724) 827-2400
Fax
(724) 827-2500
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Tammy Tsai
Title
Office Manager
Phone
(724) 827-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC05395L PA Primary

Addresses

Primary practice location

3602 Darlington Rd
Darlington, PA 16115-2524

Mailing address

3602 Darlington Rd
Darlington, PA 16115-2524
Phone (724) 827-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080325000412 PA Part B Supplier - Clinic/Group Practice 1759467293 Receives reassigned benefits from 1 practitioner
Practice locations: Darlington, PA

National Provider Directory

National Provider Directory

Locations

207 2nd St
#B
Darlington, PA 16115
Phone (724) 827-2400

3602 Darlington Rd
Darlington, PA 16115
Phone (724) 827-2167

Practitioners & affiliated clinicians

Practitioners 10

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1063590933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 DARLINGTON RD",
            "city": "DARLINGTON",
            "state": "PA",
            "postal_code": "161152524",
            "telephone_number": "724-827-2400",
            "fax_number": "724-827-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 DARLINGTON RD",
            "city": "DARLINGTON",
            "state": "PA",
            "postal_code": "161152524",
            "telephone_number": "724-827-2400",
            "fax_number": "724-827-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKHAWK CHIROPRACTIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-827-2400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC05395L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darlington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.