Elizabethtown Family Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006285L Issued in PA

Legal business name

ELIZABETHTOWN FAMILY CHIROPRACTIC PC

Practice address

1077 Dairy LN
Elizabethtown, PA 17022-9547

Phone

(717) 367-5777

Fax

(717) 367-0556

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Keith Ray Yocum, D.C.NPI 1881781110

Title

President

Phone

(717) 367-5777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith R Yocum, DC

  • Chiropractor
  • Exton, PA
  • NPI 1881781110
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1184079147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 DAIRY LN",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229547",
            "telephone_number": "717-367-5777",
            "fax_number": "717-367-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 DAIRY LN",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229547",
            "telephone_number": "717-367-5777",
            "fax_number": "717-367-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETHTOWN FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "YOCUM",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-367-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006285L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elizabeth Walden Eckhart, DDS
• Dwight O. Eichelberger, M.D.
• Elizabethtown Area School District
• Elizabethtown Dental Associates
• Elizabethtown Family Chiropractic
• Elizabethtown Family Dentistry, PLLC
• Elizabethtown Opco LLC
• Kayla Elliott, DPT
• Emerald Operator LLC
• Emerald Therapy and Consulting

• Chiropractor in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.