Individual provider Active NPI

Krysten Schab, DC

  • Chiropractor
  • Clarks Summit, PA
National Provider Identifier
1083287700
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011667 Issued in PA
Practice address
203 Greenwood Ave Ste 2
Clarks Summit, PA 18411-1405
Phone
(570) 586-3440
NPI assigned
Jul 20, 2021
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011667 PA Primary

Addresses

Primary practice location

203 Greenwood Ave Ste 2
Clarks Summit, PA 18411-1405

Mailing address

170 Silver Maple Dr
Scott TWP, PA 18411-7778
Phone (570) 906-1138

Other practice location 1

73 Montage Mtn Rd
Moosic, PA 18507-1751
Phone (570) 703-0755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901002518 PA Practitioner - Chiropractic 1850797713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

203 Greenwood Ave
Suite 2
Clarks Summit, PA 18411-1405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1083287700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 SILVER MAPLE DR",
            "city": "SCOTT TWP",
            "state": "PA",
            "postal_code": "184117778",
            "telephone_number": "570-906-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GREENWOOD AVE STE 2",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111405",
            "telephone_number": "570-586-3440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Montage Mtn Rd",
            "address_purpose": "LOCATION",
            "city": "Moosic",
            "state": "PA",
            "postal_code": "185071751",
            "country_code": "US",
            "telephone_number": "570-703-0755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAB",
        "first_name": "KRYSTEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.