Active NPI
Chiropractic & Nutrition Center P.C.
- Chiropractor
- Hanover Township, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CHIROPRACTIC & NUTRITION CENTER P.C.
- Practice address
- 68 Lee Park Ave
Hanover Township, PA 18706-4015 - Phone
- (570) 822-8254
- Fax
- (570) 822-1876
- NPI assigned
- Jan 19, 2007
- Last updated
- May 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine Alicia Sheridan, D.C.
- Title
- President
- Phone
- (570) 822-8254
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | PA | Primary |
Addresses
Primary practice location
68 Lee Park Ave
Hanover Township, PA 18706-4015
Mailing address
68 Lee Park Ave
Hanover Township, PA 18706-4015
Phone (570) 822-8254
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017387620001 | Medicaid | PA | |
| 808888 | Other | PA | FIRST PRIORITY |
| CH730174 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
68 Lee Park Ave
Hanover Township, PA 18706
Phone (570) 822-8254
68 Lee Park Ave
Fl 1
Hanover Township, PA 18706
Phone (570) 822-8254
Practitioners & affiliated clinicians
Practitioners 2
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
- Hanover Township, PA
- NPI 1508919705
-
- Nutrition Chiropractor
- Hanover Township, PA
- NPI 1780737916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367884800000",
"number": "1144373234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 LEE PARK AVE",
"city": "HANOVER TOWNSHIP",
"state": "PA",
"postal_code": "187064015",
"telephone_number": "570-822-8254",
"fax_number": "570-822-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 LEE PARK AVE",
"city": "HANOVER TOWNSHIP",
"state": "PA",
"postal_code": "187064015",
"telephone_number": "570-822-8254",
"fax_number": "570-822-1876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC & NUTRITION CENTER P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2013-05-07",
"status": "A",
"authorized_official_last_name": "SHERIDAN",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "ALICIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-822-8254",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017387620001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "808888",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "CH730174",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanover Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.