NPIMap

Organization Active NPI

Herd Chiropractic Clinic PC

  • Chiropractor
  • Camp Hill, PA
National Provider Identifier
1093877524
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001119L Issued in PA
Legal business name
HERD CHIROPRACTIC CLINIC PC
Practice address
2704 Market Street
Camp Hill, PA 17011-4531
Phone
(717) 737-1681
Fax
(717) 731-1648
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Dr. Brian T. Carver, D.C.NPI 1366580128
Title
Chiropractor
Phone
(717) 737-1681

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 001119L PA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 004479L PA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 002730L PA

Addresses

Primary practice location

2704 Market Street
Camp Hill, PA 17011-4531

Mailing address

2704 Market Street
Camp Hill, PA 17011-4531
Phone (717) 737-1681

Other identifiers 11

IdentifierTypeStateIssuer
212110925OtherCIGNA CLINIC
002730LOtherLICENSE NUMBER DINCHER
350020641OtherRAILROAD MEDICARE CARVER
JH1018019OtherASH LINK
121006KPKOtherDINCHER BLUE SHIELD
658217KPKOtherBLUE SHIELD CARVER
001119LOtherLICENSE NUMBER HERD
004479LOtherLICENSE NUMBER CARVER
350020639OtherRAILROAD MEDICARE DINCHER
115888KPKOtherBLUE SHIELD HERD
350020638OtherRAILROAD MEDICARE HERD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618000876 PA Part B Supplier - Clinic/Group Practice 6608851373 Receives reassigned benefits from 3 practitioners
Practice locations: Camp Hill, PA

National Provider Directory

National Provider Directory

Locations

2704 Market St
Camp Hill, PA 17011
Phone (717) 731-1681

Practitioners & affiliated clinicians

Practitioners 3

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1093877524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 MARKET STREET",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114531",
            "telephone_number": "717-737-1681",
            "fax_number": "717-731-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 MARKET STREET",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114531",
            "telephone_number": "717-737-1681",
            "fax_number": "717-731-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERD CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "717-737-1681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "001119L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "004479L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "002730L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA CLINIC",
            "identifier": "212110925",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER DINCHER",
            "identifier": "002730L",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE CARVER",
            "identifier": "350020641",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASH LINK",
            "identifier": "JH1018019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DINCHER BLUE SHIELD",
            "identifier": "121006KPK",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CARVER",
            "identifier": "658217KPK",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER HERD",
            "identifier": "001119L",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER CARVER",
            "identifier": "004479L",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE DINCHER",
            "identifier": "350020639",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HERD",
            "identifier": "115888KPK",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE HERD",
            "identifier": "350020638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.