Individual provider Active NPI

John Roger Amy, D.C.

  • Chiropractor
  • Edinboro, PA
National Provider Identifier
1073553236
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007922L Issued in PA
Practice address
12650 Edinboro Rd
Edinboro, PA 16412-2263
Phone
(814) 734-4541
Fax
(814) 734-5562
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007922L PA Primary

Addresses

Primary practice location

12650 Edinboro Rd
Edinboro, PA 16412-2263

Mailing address

13110 Fox Hollow Dr
Edinboro, PA 16412-1776
Phone (814) 734-7784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073553236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 FOX HOLLOW DR",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164121776",
            "telephone_number": "814-734-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12650 EDINBORO RD",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122263",
            "telephone_number": "814-734-4541",
            "fax_number": "814-734-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMY",
        "first_name": "JOHN",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007922L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.