Organization Active NPI

New Stanton Chiropractic

  • Chiropractor
  • New Stanton, PA
National Provider Identifier
1245340462
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEW STANTON CHIROPRACTIC
Practice address
163 W Pennsylvania Ave
New Stanton, PA 15672-9474
Phone
(724) 925-2244
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Dr. William J Hafer, DCNPI 1891804753
Title
General Partner
Phone
(724) 925-2244

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 Primary

Addresses

Primary practice location

163 W Pennsylvania Ave
New Stanton, PA 15672-9474

Mailing address

163 W Pennsylvania Ave
New Stanton, PA 15672-9474
Phone (724) 925-2244

Other identifiers 4

IdentifierTypeStateIssuer
1355536OtherPABLUE CROSS BLUE SHIELD
0015044500001MedicaidPA
409060OtherPAHEALTH AMERICA
1509124MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419001212 PA Part B Supplier - Clinic/Group Practice 7315985579 Receives reassigned benefits from 2 practitioners
Practice locations: New Stanton, PA

National Provider Directory

National Provider Directory

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1245340462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 W PENNSYLVANIA AVE",
            "city": "NEW STANTON",
            "state": "PA",
            "postal_code": "156729474",
            "telephone_number": "724-925-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 W PENNSYLVANIA AVE",
            "city": "NEW STANTON",
            "state": "PA",
            "postal_code": "156729474",
            "telephone_number": "724-925-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW STANTON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "HAFER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "724-925-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1355536",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015044500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "409060",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509124",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Stanton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.