Individual provider Active NPI

Carmen Connolly, DC

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1215356100
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010878 Issued in PA
Practice address
2559 Washington Rd
Suite 510
Pittsburgh, PA 15241-2575
Phone
(412) 913-5328
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010878 PA Primary

Addresses

Primary practice location

2559 Washington Rd
Suite 510
Pittsburgh, PA 15241-2575

Mailing address

2559 Washington Rd
Suite 510
Pittsburgh, PA 15241-2575
Phone (412) 913-5328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021001260 PA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 2769760941 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Sherman College of Straight Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4136 Library Rd
B4
Pittsburgh, PA 15234-1300
Phone (412) 913-5328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010878PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Connolly Chiropractic, LLC Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1215356100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 WASHINGTON RD",
            "address_2": "SUITE 510",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152412575",
            "telephone_number": "412-913-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 WASHINGTON RD",
            "address_2": "SUITE 510",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152412575",
            "telephone_number": "412-913-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.