Organization Active NPI

Mitchell Familly Chiropractic L.L.C

  • Chiropractor
  • York, PA
National Provider Identifier
1154621167
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007566L Issued in PA
Legal business name
MITCHELL FAMILLY CHIROPRACTIC L.L.C
Practice address
2159 White St
Suite 8
York, PA 17404-4943
Phone
(717) 854-5222
Fax
(717) 854-5494
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Ruth Ann Fletcher, D.C.NPI 1740597764
Title
Chiropractor
Phone
(717) 854-5222

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 DC007566L PA Primary

Addresses

Primary practice location

2159 White St
Suite 8
York, PA 17404-4943

Mailing address

2159 White St
Suite 8
York, PA 17404-4943
Phone (717) 854-5222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110426000071 PA Part B Supplier - Clinic/Group Practice 2567647167 Receives reassigned benefits from 1 practitioner
Practice locations: York, PA

National Provider Directory

National Provider Directory

Locations

2159 White St
Ste 8
York, PA 17404
Phone (717) 854-5222

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1154621167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 WHITE ST",
            "address_2": "SUITE 8",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174044943",
            "telephone_number": "717-854-5222",
            "fax_number": "717-854-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2159 WHITE ST",
            "address_2": "SUITE 8",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174044943",
            "telephone_number": "717-854-5222",
            "fax_number": "717-854-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL FAMILLY CHIROPRACTIC L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "717-854-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007566L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.