Active NPI
Barry D Hazen, D.C.
- Chiropractor
- Willow Street, PA
National Provider Identifier
1225335755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010513
- Practice address
- 4 Mylin Ave
Willow Street, PA 17584-9305 - Phone
- (717) 947-7283
- Fax
- (717) 947-7284
- NPI assigned
- Feb 18, 2011
- Last updated
- Apr 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010513 | PA | Primary |
Addresses
Primary practice location
4 Mylin Ave
Willow Street, PA 17584-9305
Mailing address
4 Mylin Ave
Willow Street, PA 17584-9305
Phone (717) 947-7283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4 Mylin Ave
Willow Street, PA 17584-9305
Phone (717) 947-7283
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Family Chiropractic, LLC | Current | Accepting new patients |
Locations
4 Mylin Ave
Willow Street, PA 17584
Phone (717) 947-7283
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Willow Street, PA
- NPI 1417311531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460160000000",
"number": "1225335755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MYLIN AVE",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849305",
"telephone_number": "717-947-7283",
"fax_number": "717-947-7284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MYLIN AVE",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849305",
"telephone_number": "717-947-7283",
"fax_number": "717-947-7284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEN",
"first_name": "BARRY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-18",
"last_updated": "2016-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Street, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.