Organization Active NPI

Deffibaugh Chiropractic, Inc.

  • Chiropractor
  • Osterburg, PA
National Provider Identifier
1184718066
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003223L Issued in PA
Legal business name
DEFFIBAUGH CHIROPRACTIC, INC.
Practice address
126 Oster Street
Osterburg, PA 16667
Phone
(814) 276-3212
Fax
(814) 276-9253
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. John Irvin Deffibaugh III, D.C.NPI 1912093634
Title
President,/Owner
Phone
(814) 276-3212

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
Chiropractor 111N00000X DC003223L PA Primary

Addresses

Primary practice location

126 Oster Street
Osterburg, PA 16667

Mailing address

PO Box 487
Osterburg, PA 16667-0487
Phone (814) 276-3212

Other identifiers 1

IdentifierTypeStateIssuer
0010623490003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111206000549 PA Part B Supplier - Clinic/Group Practice 4880869684 Receives reassigned benefits from 1 practitioner
Practice locations: Osterburg, PA

National Provider Directory

National Provider Directory

Locations

126 Oster St
Osterburg, PA 16667
Phone (814) 276-3212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184718066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "OSTERBURG",
            "state": "PA",
            "postal_code": "166670487",
            "telephone_number": "814-276-3212",
            "fax_number": "814-276-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 OSTER STREET",
            "city": "OSTERBURG",
            "state": "PA",
            "postal_code": "16667",
            "telephone_number": "814-276-3212",
            "fax_number": "814-276-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFFIBAUGH CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEFFIBAUGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "IRVIN",
        "authorized_official_title_or_position": "PRESIDENT,/OWNER",
        "authorized_official_telephone_number": "814-276-3212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003223L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010623490003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osterburg, 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.