Active NPI
Klockworks Chiropractic, P.C.
- Nutrition Chiropractor
- Canonsburg, PA
National Provider Identifier
1083870729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- DC006036L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366635344 | Other | PA | INDIVIDUAL NPI |
| KL1568714 | Other | PA | HIGHMARK GROUP |
Other names 1
- The Center for Chiropractic and Applied Kinesiology
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nutrition Chiropractor
- Pittsburgh, PA
- NPI 1598910572
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.