NPIMap

Organization Active NPI

Edinboro Family Chiropractic, Inc.

  • Chiropractor
  • Edinboro, PA
National Provider Identifier
1124093042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007922L Issued in PA
Legal business name
EDINBORO FAMILY CHIROPRACTIC, INC.
Practice address
12650 Edinboro Rd
Edinboro, PA 16412-2263
Phone
(814) 734-4541
Fax
(814) 734-5562
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Roger Amy, D.C.
Title
President/Chiropractor
Phone
(814) 734-4541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC007922L PA Primary

Addresses

Primary practice location

12650 Edinboro Rd
Edinboro, PA 16412-2263

Mailing address

12650 Edinboro Rd
Edinboro, PA 16412-2263
Phone (814) 734-4541

Other names 1

  • John R. Amy, D.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

12650 Edinboro Rd
Edinboro, PA 16412
Phone (814) 734-4541

Practitioners & affiliated clinicians

Practitioners 4

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": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124093042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 EDINBORO RD",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122263",
            "telephone_number": "814-734-4541",
            "fax_number": "814-734-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12650 EDINBORO RD",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122263",
            "telephone_number": "814-734-4541",
            "fax_number": "814-734-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINBORO FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "814-734-4541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007922L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John R. Amy, D.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Edinboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.