Individual provider Active NPI

James Adam Kliamovich II, D.C.

  • Chiropractor
  • Sweet Valley, PA
National Provider Identifier
1225034523
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006235L Issued in PA
Practice address
5321 Main Road
Sweet Valley, PA 18656-0334
Phone
(570) 477-2778
Fax
(570) 477-3572
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006235L PA Primary
Occupational Health Chiropractor 111NX0100X DC006235L PA

Addresses

Primary practice location

5321 Main Road
Sweet Valley, PA 18656-0334

Mailing address

PO Box 334
Sweet Valley, PA 18656-0334
Phone (570) 477-2778

Other identifiers 18

IdentifierTypeStateIssuer
339411OtherPAADVANTRA FREEDOM
0015407230003MedicaidPA
0814753000OtherPAINDEPENDENCE BLUE CROSS
1007640OtherPAASHN
20039719OtherPAAMERIHEALTH MERCY
2983739OtherPACIGNA HEALTHCARE
789959OtherPAHIGHMARK BC/BS
2194938OtherPAFIRST HEALTH
45223OtherPAGEISINGER HEALTH PLAN
118377OtherPAUNISON HEALTH PLAN
5622279OtherPAAETNA PPO ID
825782OtherPAFIRST PRIORITY HEALTH
611305800OtherPAUS DEPT. OF LABOR
2298072OtherPAAETNA HMO ID
339411OtherPAHEALTH AMERICA
350052217OtherPARAILROAD MEDICARE NO.
350052217OtherPARAILROAD MEDICARE
789959OtherPAFIRST PRIORITY LIFE INS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James a Kliamovich II Chiropractor PastSince Jan 1, 1990 Accepting new patients
Fultz Family Chiropractic LLC Chiropractor PastSince May 28, 2014 Accepting new patients

Organizations & group practices 2

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1225034523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "SWEET VALLEY",
            "state": "PA",
            "postal_code": "186560334",
            "telephone_number": "570-477-2778",
            "fax_number": "570-477-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 MAIN ROAD",
            "city": "SWEET VALLEY",
            "state": "PA",
            "postal_code": "186560334",
            "telephone_number": "570-477-2778",
            "fax_number": "570-477-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIAMOVICH",
        "first_name": "JAMES",
        "middle_name": "ADAM",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006235L",
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "PA",
            "license": "DC006235L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA FREEDOM",
            "identifier": "339411",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015407230003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0814753000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "1007640",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20039719",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "2983739",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "789959",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2194938",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "45223",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "118377",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO ID",
            "identifier": "5622279",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "825782",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "611305800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO ID",
            "identifier": "2298072",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "339411",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NO.",
            "identifier": "350052217",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350052217",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY LIFE INS",
            "identifier": "789959",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweet Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.