Individual provider Active NPI

Edwin R Laudermilch, D.C.

  • Chiropractor
  • Hershey, PA
National Provider Identifier
1083829121
Registry record updated Jan 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002069L Issued in PA
Practice address
75 Cedar Ave
Hershey, PA 17033-1419
Phone
(717) 533-4844
Fax
(717) 533-5285
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002069L PA Primary

Addresses

Primary practice location

75 Cedar Ave
Hershey, PA 17033-1419

Mailing address

77 Cedar Ave
Hershey, PA 17033-1419
Phone (717) 533-4844

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517097600000",
    "number": "1083829121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CEDAR AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331419",
            "telephone_number": "717-533-4844",
            "fax_number": "717-533-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CEDAR AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331419",
            "telephone_number": "717-533-4844",
            "fax_number": "717-533-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDERMILCH",
        "first_name": "EDWIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2018-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002069L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.