Organization Active NPI

Keystone Natural Health LLC

  • Chiropractor
  • Mechanicsburg, PA
National Provider Identifier
1205078110
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC10065 Issued in PA
Legal business name
KEYSTONE NATURAL HEALTH LLC
Practice address
856 Century Dr
Suite C
Mechanicsburg, PA 17055-4505
Phone
(717) 697-0589
Fax
(717) 697-1700
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. David Sullivan, D.C.
Title
Member
Phone
(717) 697-0589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC10065 PA Primary

Addresses

Primary practice location

856 Century Dr
Suite C
Mechanicsburg, PA 17055-4505

Mailing address

856 Century Dr
Suite C
Mechanicsburg, PA 17055-4505
Phone (717) 697-0589

Other names 1

  • David Sullivan DC Doing business as

National Provider Directory

National Provider Directory

Locations

856 Century Dr
Ste C
Mechanicsburg, PA 17055
Phone (717) 697-0588

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1205078110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 CENTURY DR",
            "address_2": "SUITE C",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554505",
            "telephone_number": "717-697-0589",
            "fax_number": "717-697-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 CENTURY DR",
            "address_2": "SUITE C",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554505",
            "telephone_number": "717-697-0589",
            "fax_number": "717-697-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE NATURAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "717-697-0589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC10065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Sullivan DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.