Active NPI
Gregg Donald Parks, D.C.
- Chiropractor
- Boyertown, PA
National Provider Identifier
1184711657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC003160L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025854 | Other | PA | CHIROPRACTIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parks Chiropractic PC | Chiropractor | Current | 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.
-
- Chiropractor
- Boyertown, PA
- NPI 1952737967
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.