Organization Active NPI

Klockworks Chiropractic, P.C.

  • Nutrition Chiropractor
  • Canonsburg, PA
National Provider Identifier
1083870729
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC006036L Issued in PA
Legal business name
KLOCKWORKS CHIROPRACTIC, P.C.
Practice address
112 Galley Rd
Canonsburg, PA 15317-2352
Phone
(724) 743-1050
Fax
(724) 743-1053
NPI assigned
Aug 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. Ian T. Klock, D.C.
Title
President
Phone
(724) 743-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X DC006036L PA Primary

Addresses

Primary practice location

112 Galley Rd
Canonsburg, PA 15317-2352

Mailing address

104 Saxon Dr
MC Murray, PA 15317-2723
Phone (724) 942-5852

Other identifiers 2

IdentifierTypeStateIssuer
1366635344OtherPAINDIVIDUAL NPI
KL1568714OtherPAHIGHMARK GROUP

Other names 1

  • The Center for Chiropractic and Applied Kinesiology Doing business as

National Provider Directory

National Provider Directory

Locations

112 Galley Rd
Mc Murray, PA 15317
Phone (724) 743-1050

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1083870729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SAXON DR",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172723",
            "telephone_number": "724-942-5852",
            "fax_number": "724-942-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 GALLEY RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172352",
            "telephone_number": "724-743-1050",
            "fax_number": "724-743-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLOCKWORKS CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "KLOCK",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-743-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "PA",
            "license": "DC006036L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1366635344",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP",
            "identifier": "KL1568714",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Chiropractic and Applied Kinesiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.