NPIMap

Organization Active NPI

Solley Health First Chiropractic

  • Chiropractor
  • Williamsport, PA
National Provider Identifier
1104820141
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010395 Issued in PA
Legal business name
SOLLEY HEALTH FIRST CHIROPRACTIC
Practice address
580 E 3Rd St
Williamsport, PA 17701-5317
Phone
(570) 322-2225
Fax
(570) 322-2766
NPI assigned
Jun 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Dr. George Danaker Solley, D.C.NPI 1508854779
Title
Owner
Phone
(570) 322-2225

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
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC005921-L PA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC010395 PA Primary

Addresses

Primary practice location

580 E 3Rd St
Williamsport, PA 17701-5317

Mailing address

580 E 3Rd St
Williamsport, PA 17701-5317
Phone (570) 322-2225

Other identifiers 1

IdentifierTypeStateIssuer
555741OtherPABCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825000388 PA Part B Supplier - Clinic/Group Practice 3375517386 Receives reassigned benefits from 3 practitioners
Practice locations: Williamsport, PA

National Provider Directory

National Provider Directory

Locations

580 E 3rd St
Williamsport, PA 17701
Phone (570) 322-2225

Practitioners & affiliated clinicians

Practitioners 6

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": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1104820141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015317",
            "telephone_number": "570-322-2225",
            "fax_number": "570-322-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015317",
            "telephone_number": "570-322-2225",
            "fax_number": "570-322-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLLEY HEALTH FIRST CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "SOLLEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DANAKER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-322-2225",
        "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": "DC005921-L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "555741",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.