Individual provider Active NPI

Gregg Donald Parks, D.C.

  • Chiropractor
  • Boyertown, PA
National Provider Identifier
1184711657
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003160L Issued in PA
Practice address
500 E Philadelphia Ave
Boyertown, PA 19512-1225
Phone
(610) 367-7850
Fax
(610) 367-2820
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003160L PA Primary

Addresses

Primary practice location

500 E Philadelphia Ave
Boyertown, PA 19512-1225

Mailing address

500 E Philadelphia Ave
Boyertown, PA 19512-1225
Phone (610) 367-7850

Other identifiers 1

IdentifierTypeStateIssuer
025854OtherPACHIROPRACTIC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110510000808 PA Practitioner - Chiropractic 5991981813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parks Chiropractic PCGroup PAC ID 1658509971, 2 clinicians

Practice addresses (Care Compare)

137 Montgomery Ave
Suite 103
Boyertown, PA 19512-1300
Phone (610) 367-7850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parks Chiropractic PC Chiropractor CurrentSince Dec 23, 2013 Accepting new patients

Locations

500 E Philadelphia Ave
Boyertown, PA 19512
Phone (610) 367-7850

137 Montgomery Ave
Ste 103
Boyertown, PA 19512
Phone (610) 367-7850

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1184711657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E PHILADELPHIA AVE",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121225",
            "telephone_number": "610-367-7850",
            "fax_number": "610-367-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E PHILADELPHIA AVE",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121225",
            "telephone_number": "610-367-7850",
            "fax_number": "610-367-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "GREGG",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003160L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "025854",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.