Organization Active NPI

Duddy Chiropractic

  • Chiropractor
  • Easton, PA
National Provider Identifier
1073681607
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007108L Issued in PA
Legal business name
DUDDY CHIROPRACTIC
Practice address
301 S 22ND St
Easton, PA 18042-3811
Phone
(610) 253-5332
Fax
(610) 253-5975
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Dr. Scott Thomas Duddy, D.C.NPI 1639130685
Title
Owner
Phone
(610) 253-5332

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC004349L PA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC007108L PA Primary

Addresses

Primary practice location

301 S 22ND St
Easton, PA 18042-3811

Mailing address

301 S 22ND St
Easton, PA 18042-3811
Phone (610) 253-5332

Other identifiers 6

IdentifierTypeStateIssuer
110363OtherPAAETNA
607153OtherPAACN GROUP
901579OtherPAMEDICARE PTAN
0282107000OtherPAAMERIHEALTH IBX
DU712460OtherPAHIGHMARK
02870600OtherPACAPITAL BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721001056 PA Part B Supplier - Clinic/Group Practice 7315927357 Receives reassigned benefits from 2 practitioners
Practice locations: Easton, PA; Mount Bethel, PA

National Provider Directory

National Provider Directory

Locations

1700 Northampton St
Ste D
Easton, PA 18042
Phone (610) 253-5332

6 Mount Bethel Plz
Mount Bethel, PA 18343
Phone (570) 897-7023

Practitioners & affiliated clinicians

Practitioners 2

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1073681607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 22ND ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423811",
            "telephone_number": "610-253-5332",
            "fax_number": "610-253-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 22ND ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423811",
            "telephone_number": "610-253-5332",
            "fax_number": "610-253-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDDY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "DUDDY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-253-5332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004349L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007108L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "110363",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "607153",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "901579",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH  IBX",
            "identifier": "0282107000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "DU712460",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02870600",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.