NPIMap

Organization Active NPI

Advanced Care Chiropractic LLC

  • Chiropractor
  • Lewisburg, PA
National Provider Identifier
1184823668
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009456 Issued in PA
Legal business name
ADVANCED CARE CHIROPRACTIC LLC
Practice address
1205 Market St
Lewisburg, PA 17837-1371
Phone
(570) 523-1221
Fax
(570) 523-9246
NPI assigned
Jul 13, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Dr. Michael Douglas Morrison, D.C.NPI 1629079561
Title
Chiropractor/Owner
Phone
(570) 523-1221

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 DC009456 PA Primary

Addresses

Primary practice location

1205 Market St
Lewisburg, PA 17837-1371

Mailing address

1205 Market St
Lewisburg, PA 17837-1371
Phone (570) 523-1221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071015000521 PA Part B Supplier - Clinic/Group Practice 9133215676 Receives reassigned benefits from 4 practitioners
Practice locations: Lewisburg, PA

National Provider Directory

National Provider Directory

Locations

2009 W Market St
Lewisburg, PA 17837
Phone (570) 523-1221

Practitioners & affiliated clinicians

Practitioners 12

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": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1184823668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MARKET ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371371",
            "telephone_number": "570-523-1221",
            "fax_number": "570-523-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MARKET ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371371",
            "telephone_number": "570-523-1221",
            "fax_number": "570-523-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "570-523-1221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.