Individual provider Active NPI

Jonathan Edward Ewer, DC

  • Chiropractor
  • Greensburg, PA
National Provider Identifier
1144299942
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007435L Issued in PA
Practice address
298 Old Route 30
Greensburg, PA 15601-6992
Phone
(724) 836-5520
Fax
(724) 836-5565
NPI assigned
Mar 15, 2006
Last updated
Oct 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007435L PA Primary

Addresses

Primary practice location

298 Old Route 30
Greensburg, PA 15601-6992

Mailing address

298 Old Route 30
Greensburg, PA 15601-6992
Phone (724) 836-5520

Other identifiers 1

IdentifierTypeStateIssuer
1326549OtherPABCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041215000510 PA Practitioner - Chiropractic 0941267538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ewer Specific Chiropractic, P.C.Group PAC ID 8022103811, 2 clinicians

Practice addresses (Care Compare)

298 Old Route 30
Greensburg, PA 15601-7035
Phone (724) 836-5520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC007435LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ewer Specific Chiropractic, P.C. Chiropractor CurrentSince Jan 3, 2001 Accepting new patients
Elderly Care PC Past Accepting new patients

Locations

143 Hartman Rd
Ste 9
Greensburg, PA 15601
Phone (724) 836-5520

298 Old Route 30
Greensburg, PA 15601
Phone (724) 834-0389

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1144299942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 OLD ROUTE 30",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016992",
            "telephone_number": "724-836-5520",
            "fax_number": "724-836-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 OLD ROUTE 30",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016992",
            "telephone_number": "724-836-5520",
            "fax_number": "724-836-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWER",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007435L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1326549",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.

Verify at the official NPI Registry.