Organization Active NPI

Family Chiropractic and Sports Injury Center PC

  • Chiropractor
  • Knox, PA
National Provider Identifier
1093312753
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FAMILY CHIROPRACTIC AND SPORTS INJURY CENTER PC
Practice address
7313 Route 338 # 107
Knox, PA 16232-4927
Phone
(814) 992-2001
Fax
(702) 446-8107
NPI assigned
Oct 6, 2020
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Eric Easton, DCNPI 1700099801
Title
President/Doctor
Phone
(814) 319-5653

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

7313 Route 338 # 107
Knox, PA 16232-4927

Mailing address

7313 Route 338 # 107
Knox, PA 16232-4927
Phone (814) 992-2001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201021001229 PA Part B Supplier - Clinic/Group Practice 9830519453 Receives reassigned benefits from 1 practitioner
Practice locations: Knox, PA

National Provider Directory

National Provider Directory

Locations

7313 Route 338
Knox, PA 16232
Phone (814) 992-2001

7313 Route 338
#107
Knox, PA 16232
Phone (814) 992-2001

Practitioners & affiliated clinicians

Practitioners 1

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": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1093312753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 ROUTE 338 # 107",
            "city": "KNOX",
            "state": "PA",
            "postal_code": "162324927",
            "telephone_number": "814-992-2001",
            "fax_number": "702-446-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 ROUTE 338 # 107",
            "city": "KNOX",
            "state": "PA",
            "postal_code": "162324927",
            "telephone_number": "814-992-2001",
            "fax_number": "702-446-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC AND SPORTS INJURY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "EASTON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "814-319-5653",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knox, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.