Allison Chiropractic Center PC

Organization Active NPI Chiropractor · Derry, PA

NPI 1083199558 · NPPES record last updated Oct 1, 2018

Key facts

NPI
1083199558
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
Legal business name
ALLISON CHIROPRACTIC CENTER PC
Practice address
310 S Chestnut Street
Derry, PA 15627
Phone
(724) 694-9700
NPI assigned
Oct 1, 2018
Organization subpart
No

Authorized official

Name
Brianna Boliver, D.C. NPI 1336674704
Title
Owner
Phone
(724) 694-9700

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190327002726 PA Part B Supplier - Clinic/Group Practice 1951641018 Receives reassigned benefits from 2 practitioners
Practice locations: Derry, PA

National Provider Directory

Locations

310 S Chestnut St
Derry, PA 15627
Phone (724) 570-1389

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X Yes

Addresses

Primary practice location

310 S Chestnut Street
Derry, PA 15627

Mailing address

310 S Chestnut Street
Derry, PA 15627
Phone (724) 694-9700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 1, 2018.

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1083199558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S CHESTNUT STREET",
            "city": "DERRY",
            "state": "PA",
            "postal_code": "15627",
            "telephone_number": "724-694-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S CHESTNUT STREET",
            "city": "DERRY",
            "state": "PA",
            "postal_code": "15627",
            "telephone_number": "724-694-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISON CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "BOLIVER",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-694-9700",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, PA

All providers in Derry, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.