Active NPI
John Roger Amy, D.C.
- Chiropractor
- Edinboro, PA
National Provider Identifier
1073553236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007922L
- 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
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 | 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.