Organization Active NPI

Appalachian Family Chiropractic Clinic PC

  • Chiropractor
  • Ebensburg, PA
National Provider Identifier
1174518948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
APPALACHIAN FAMILY CHIROPRACTIC CLINIC PC
Practice address
127 S Center St
Ebensburg, PA 15931-1623
Phone
(814) 471-6656
Fax
(814) 471-6654
NPI assigned
Sep 16, 2005
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. Jodi Rae Cronauer, DCNPI 1235350935
Title
Vice President
Phone
(814) 471-6656

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 PA Primary

Addresses

Primary practice location

127 S Center St
Ebensburg, PA 15931-1623

Mailing address

127 S Center St
Ebensburg, PA 15931-1623
Phone (814) 471-6656

Other identifiers 1

IdentifierTypeStateIssuer
0019451310001MedicaidPA

National Provider Directory

National Provider Directory

Locations

127 S Center St
Ebensburg, PA 15931
Phone (814) 201-7055

Practitioners & affiliated clinicians

Practitioners 3

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": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174518948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S CENTER ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311623",
            "telephone_number": "814-471-6656",
            "fax_number": "814-471-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S CENTER ST",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311623",
            "telephone_number": "814-471-6656",
            "fax_number": "814-471-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN FAMILY CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRONAUER",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "814-471-6656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019451310001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.