Organization Active NPI

Lititz Family Chiropractic PLLC

  • Chiropractor
  • Lititz, PA
National Provider Identifier
1215349352
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010675 Issued in PA
Legal business name
LITITZ FAMILY CHIROPRACTIC PLLC
Practice address
766 Lititz Pike
Lititz, PA 17543-7314
Phone
(570) 238-4582
NPI assigned
May 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Dr. Gregory Robert James O'Neill, D.C.NPI 1720323975
Title
Owner/Chiropractor
Phone
(570) 238-4582

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC010675 PA Primary

Addresses

Primary practice location

766 Lititz Pike
Lititz, PA 17543-7314

Mailing address

766 Lititz Pike
Lititz, PA 17543-7314
Phone (570) 238-4582

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140721000005 PA Part B Supplier - Clinic/Group Practice 8325264898 Receives reassigned benefits from 3 practitioners
Practice locations: Lititz, PA

National Provider Directory

National Provider Directory

Locations

750 Lititz Pike
Lititz, PA 17543
Phone (570) 238-4582

766 Lititz Pike
Lititz, PA 17543
Phone (570) 238-4582

Practitioners & affiliated clinicians

Practitioners 3

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": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1215349352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 LITITZ PIKE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437314",
            "telephone_number": "570-238-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 LITITZ PIKE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437314",
            "telephone_number": "570-238-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITITZ FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ROBERT JAMES",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "570-238-4582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.