Active NPI
Manucci Chiropractic Center
- Chiropractor
- Erie, PA
National Provider Identifier
1073788097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC005117L
- Legal business name
- MANUCCI CHIROPRACTIC CENTER
- Practice address
- 2028 W 38TH St
Erie, PA 16508-2020 - Phone
- (814) 868-2663
- Fax
- (814) 868-0044
- NPI assigned
- Apr 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey J Manucci, D.C.
- Title
- Owner
- Phone
- (814) 868-2663
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC005117L | PA | Primary |
Addresses
Primary practice location
2028 W 38TH St
Erie, PA 16508-2020
Mailing address
2028 W 38TH St
Erie, PA 16508-2020
Phone (814) 868-2663
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182925 | Other | PA | BLUE SHIELD |
| JM1033899 | Other | PA | ASHN |
| 001432216000 | Medicaid | PA | |
| 335-715 | Other | PA | BLUE SHIELD GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
2028 W 38th St
Erie, PA 16508
Phone (814) 868-2663
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Erie, PA
- NPI 1477543098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1073788097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 W 38TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165082020",
"telephone_number": "814-868-2663",
"fax_number": "814-868-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 W 38TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165082020",
"telephone_number": "814-868-2663",
"fax_number": "814-868-0044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANUCCI CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-30",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "MANUCCI",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-868-2663",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC005117L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "182925",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "JM1033899",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001432216000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP NUMBER",
"identifier": "335-715",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.