Organization Active NPI

KS Chiropractic, PC

  • Chiropractor
  • Natrona Heights, PA
National Provider Identifier
1063716744
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009729 Issued in PA
Legal business name
KS CHIROPRACTIC, PC
Practice address
909 Dallas Ave
Natrona Heights, PA 15065-2124
Phone
(724) 230-0255
Fax
(724) 230-0259
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Mrs. Katie Supik Resick, DCNPI 1962525451
Title
Owner
Phone
(724) 448-2281

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 DC009729 PA Primary

Addresses

Primary practice location

909 Dallas Ave
Natrona Heights, PA 15065-2124

Mailing address

2876 Meadow St
Natrona Heights, PA 15065-1818
Phone (724) 448-2281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120810000669 PA Part B Supplier - Clinic/Group Practice 5698921336 Receives reassigned benefits from 2 practitioners
Practice locations: Natrona Heights, 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": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1063716744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 MEADOW ST",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150651818",
            "telephone_number": "724-448-2281",
            "fax_number": "724-230-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 DALLAS AVE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652124",
            "telephone_number": "724-230-0255",
            "fax_number": "724-230-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "RESICK",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "SUPIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-448-2281",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.