Organization Active NPI

The Oakchunas Chiropractic Clinic, LLC

  • Chiropractor
  • Bethlehem, PA
National Provider Identifier
1174675847
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007894L Issued in PA
Legal business name
THE OAKCHUNAS CHIROPRACTIC CLINIC, LLC
Practice address
310 E Broad St
Bethlehem, PA 18018-6311
Phone
(610) 849-0779
Fax
(610) 849-0824
NPI assigned
Jan 16, 2007
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. Leo Anthony Oakchunas, D.C.NPI 1407818057
Title
Doctor of Chiropractic
Phone
(610) 849-0779

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 DC007894L PA Primary

Addresses

Primary practice location

310 E Broad St
Bethlehem, PA 18018-6311

Mailing address

310 E Broad St
Bethlehem, PA 18018-6311
Phone (610) 849-0779

Other identifiers 8

IdentifierTypeStateIssuer
1036582OtherPAASHN
OA1811014OtherPABC BS GROUP#
2646503000OtherPAAMERIHEALTH
2646503000OtherPAIBX
2646503000OtherPAPERSONAL CHOICE
7104793OtherPAAETNA
2646503000OtherPAKEYSTONE
50056463OtherPACAPITAL BC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060419000440 PA Part B Supplier - Clinic/Group Practice 0345259396 Receives reassigned benefits from 1 practitioner
Practice locations: Bethlehem, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174675847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186311",
            "telephone_number": "610-849-0779",
            "fax_number": "610-849-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186311",
            "telephone_number": "610-849-0779",
            "fax_number": "610-849-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OAKCHUNAS CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OAKCHUNAS",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "610-849-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007894L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "1036582",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS GROUP#",
            "identifier": "OA1811014",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2646503000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBX",
            "identifier": "2646503000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2646503000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7104793",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2646503000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "50056463",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, 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.