Active NPI
Lance A. Seesholtz, D.C.
- Chiropractor
- Bloomsburg, PA
National Provider Identifier
1073520854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC008704
- Practice address
- 2607 Old Berwick Rd
Bloomsburg, PA 17815-3238 - Phone
- (570) 784-2529
- Fax
- (570) 784-1001
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC008704 | PA | Primary |
Addresses
Primary practice location
2607 Old Berwick Rd
Bloomsburg, PA 17815-3238
Mailing address
2607 Old Berwick Rd
Bloomsburg, PA 17815-3238
Phone (570) 784-2529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050131000925 | PA | Practitioner - Chiropractic | 3779533385 | Practice locations: Bloomsburg, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2607 Old Berwick Rd
Bloomsburg, PA 17815-3238
Phone (570) 784-2529
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC008704 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seesholtz Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Bloomsburg, PA
- NPI 1619041068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073520854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 OLD BERWICK RD",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178153238",
"telephone_number": "570-784-2529",
"fax_number": "570-784-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 OLD BERWICK RD",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178153238",
"telephone_number": "570-784-2529",
"fax_number": "570-784-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEESHOLTZ",
"first_name": "LANCE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC008704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.