NPIMap

Organization Active NPI

Revenant Chiropractic

  • Chiropractor
  • Cranberry TWP, PA
National Provider Identifier
1245740216
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011010 Issued in PA
Legal business name
REVENANT CHIROPRACTIC
Practice address
20411 Route 19 Unit 6
Cranberry TWP, PA 16066-7511
Phone
(724) 799-2251
NPI assigned
Oct 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Dr. Eric Joseph Ubrin, DCNPI 1417348202
Title
Sole Proprietor
Phone
(724) 553-0600

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 DC011010 PA Primary

Addresses

Primary practice location

20411 Route 19 Unit 6
Cranberry TWP, PA 16066-7511

Mailing address

20411 Route 19 Unit 6
Cranberry TWP, PA 16066-7511
Phone (724) 799-2251

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1245740216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20411 ROUTE 19 UNIT 6",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160667511",
            "telephone_number": "724-799-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20411 ROUTE 19 UNIT 6",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160667511",
            "telephone_number": "724-799-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVENANT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "UBRIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "724-553-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.