Organization Active NPI

Avonworth Chiropractic

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1083844203
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009634 Issued in PA
Legal business name
AVONWORTH CHIROPRACTIC
Doing business as
Avonworth Chiropractic
Practice address
225 Center Ave
Pittsburgh, PA 15202-1562
Phone
(412) 734-1811
NPI assigned
Jul 22, 2009
Last updated
Jul 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Dr. Jacob Ryan Barlow, D.C.NPI 1649476912
Title
General Partner
Phone
(412) 734-1811

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
Chiropractor 111N00000X DC009659 PA
Chiropractor 111N00000X DC009634 PA Primary

Addresses

Primary practice location

225 Center Ave
Pittsburgh, PA 15202-1562

Mailing address

225 Center Ave
Pittsburgh, PA 15202-1562
Phone (412) 734-1811

Other names 1

  • Avonworth Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091030000344 PA Part B Supplier - Clinic/Group Practice 8729125398 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

225 Center Ave
Pittsburgh, PA 15202
Phone (412) 734-1811

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1083844203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CENTER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152021562",
            "telephone_number": "412-734-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CENTER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152021562",
            "telephone_number": "412-734-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONWORTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "412-734-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009659",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avonworth Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.