Active NPI
Brodheadsville Chiropractic
- Chiropractor
- Brodheadsville, PA
National Provider Identifier
1124023114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC1730L
- Legal business name
- BRODHEADSVILLE CHIROPRACTIC
- Practice address
- 6 Pilgrim Way
Brodheadsville, PA 18322-0447 - Phone
- (570) 992-7626
- Fax
- (570) 992-8759
- NPI assigned
- Jun 16, 2005
- Organization subpart
- Yes
- Parent organization
- BRODHEADSVILLE CHIROPRACTIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert John Van Metter, DC
- Title
- Owner Chiropractic
- Phone
- (570) 992-7626
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC1730L | PA | Primary |
| Chiropractor | 111N00000X |
Addresses
Primary practice location
6 Pilgrim Way
Brodheadsville, PA 18322-0447
Mailing address
PO Box 447
6 Pilgrim Way
Brodheadsville, PA 18322-0447
Phone (570) 992-7626
Other names 1
- Robert J Van Metter
National Provider Directory
National Provider Directory- Part of
- Brodheadsville Chiropractic
Locations
134 Pilgrim Way
Brodheadsvlle, PA 18322
Phone (570) 992-7626
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Brodheadsville, PA
- NPI 1497750483
-
- Chiropractor
- Eynon, PA
- NPI 1558410977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215475200000",
"number": "1124023114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 447",
"address_2": "6 PILGRIM WAY",
"city": "BRODHEADSVILLE",
"state": "PA",
"postal_code": "183220447",
"telephone_number": "570-992-7626",
"fax_number": "570-992-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PILGRIM WAY",
"city": "BRODHEADSVILLE",
"state": "PA",
"postal_code": "183220447",
"telephone_number": "570-992-7626",
"fax_number": "570-992-8759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRODHEADSVILLE CHIROPRACTIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRODHEADSVILLE CHIROPRACTIC",
"enumeration_date": "2005-06-16",
"last_updated": "2008-07-08",
"status": "A",
"authorized_official_last_name": "VAN METTER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER CHIROPRACTIC",
"authorized_official_telephone_number": "570-992-7626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC1730L",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Robert J Van Metter",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brodheadsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.