Active NPI
Dennis G McKolosky, DC
- Chiropractor
- Johnstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC003276L
- Practice address
- 401 Theatre Dr
Johnstown, PA 15904-2838 - Phone
- (814) 269-3116
- Fax
- (814) 266-8471
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC003276L | PA | Primary |
Addresses
Primary practice location
401 Theatre Dr
Johnstown, PA 15904-2838
Mailing address
401 Theatre Dr
Johnstown, PA 15904-2838
Phone (814) 269-3116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001418825002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 Theatre Dr
Johnstown, PA 15904-2838
Phone (814) 269-3116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC003276L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKolosky Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| McKolosky Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
401 Theatre Dr
Johnstown, PA 15904
Phone (814) 269-3116
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Chiropractor
- Johnstown, PA
- NPI 1942506159
-
- Chiropractor
- Philipsburg, PA
- NPI 1376092544
-
- Chiropractor
- Johnstown, PA
- NPI 1518389162
-
- Chiropractor
- Johnstown, PA
- NPI 1669879037
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Johnstown, PA
- NPI 1699895094
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1114902335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 THEATRE DR",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159042838",
"telephone_number": "814-269-3116",
"fax_number": "814-266-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 THEATRE DR",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159042838",
"telephone_number": "814-269-3116",
"fax_number": "814-266-8471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKOLOSKY",
"first_name": "DENNIS",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003276L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001418825002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
- D'Shae McKenzie, MD
- McKinley OB/GYN Associates PC (McKinley Ob/Gyn Associates PC Lab)
- Richard G McKinley, MD
- McKolosky Chiropractic
- McKolosky Chiropractic, P.C. (McKolosky Chiropractic)
- Nicholas McKolosky, D.C.
- McLeary Professional Counseling
- Brian W. McLeary, LPC
- Lawrence M McNiesh, MD
- Betty Ann McPherson, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.