Organization Active NPI

Czulada Chiropractic, P.C.

  • Chiropractor
  • Dickson City, PA
National Provider Identifier
1164586384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002728L Issued in PA
Legal business name
CZULADA CHIROPRACTIC, P.C.
Practice address
927 Main St
Dickson City, PA 18519-1337
Phone
(570) 383-2222
Fax
(570) 383-3851
NPI assigned
Dec 21, 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. Glenn Czulada, D.C.NPI 1134126287
Title
Doctor of Chiropractic
Phone
(570) 343-0400

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 DC002728L PA Primary

Addresses

Primary practice location

927 Main St
Dickson City, PA 18519-1337

Mailing address

1201 Wheeler Ave
Dunmore, PA 18510-1236
Phone (570) 343-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040504000534 PA Part B Supplier - Clinic/Group Practice 4284622796 Receives reassigned benefits from 2 practitioners
Practice locations: Dickson City, PA; Dunmore, PA

National Provider Directory

National Provider Directory

Locations

927 Main St
Scranton, PA 18519
Phone (570) 343-0400

1201 Wheeler Ave
Scranton, PA 18510
Phone (570) 343-0400

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164586384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WHEELER AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185101236",
            "telephone_number": "570-343-0400",
            "fax_number": "570-342-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191337",
            "telephone_number": "570-383-2222",
            "fax_number": "570-383-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CZULADA CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CZULADA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "570-343-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002728L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, 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.
  • 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.