Sample Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006142L Issued in PA

Legal business name

SAMPLE CHIROPRACTIC

Practice address

751 Pittsburgh McKeesport Blvd
Dravosburg, PA 15034-1065

Phone

(412) 469-1078

Fax

(412) 469-0823

NPI assigned

Dec 13, 2007

Last updated

Dec 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William R Sample, D.C.

Title

Doctor

Phone

(412) 469-0823

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1205019130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1566",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151469566",
            "telephone_number": "724-387-2667",
            "fax_number": "724-387-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 PITTSBURGH MCKEESPORT BLVD",
            "city": "DRAVOSBURG",
            "state": "PA",
            "postal_code": "150341065",
            "telephone_number": "412-469-1078",
            "fax_number": "412-469-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPLE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "SAMPLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "412-469-0823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006142L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "036524LGY",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.