Organization Active NPI

Kondner Chiropractic Center

  • Chiropractor
  • Hanover, PA
National Provider Identifier
1124143664
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004797-L Issued in PA
Legal business name
KONDNER CHIROPRACTIC CENTER
Practice address
120 Broadway
Hanover, PA 17331-2513
Phone
(717) 630-9292
Fax
(717) 630-0488
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Thomas KondnerNPI 1306841184
Title
President
Phone
(717) 630-9292

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC004797-L PA Primary

Addresses

Primary practice location

120 Broadway
Hanover, PA 17331-2513

Mailing address

120 Broadway
Hanover, PA 17331-2513
Phone (717) 630-9292

Other identifiers 1

IdentifierTypeStateIssuer
1306841184OtherPAINDIVIDUAL TYPE1 NPI #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120914000127 PA Part B Supplier - Clinic/Group Practice 7719135896 Receives reassigned benefits from 1 practitioner
Practice locations: Hanover, PA

National Provider Directory

National Provider Directory

Locations

120 Broadway
Hanover, PA 17331
Phone (717) 630-9292

Practitioners & affiliated clinicians

Practitioners 1

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1124143664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BROADWAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312513",
            "telephone_number": "717-630-9292",
            "fax_number": "717-630-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BROADWAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312513",
            "telephone_number": "717-630-9292",
            "fax_number": "717-630-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONDNER CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "KONDNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-630-9292"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004797-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL TYPE1 NPI #",
            "identifier": "1306841184",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.