Organization Active NPI

Family Chiropractic of Lancaster County LTD

  • Chiropractor
  • Lancaster, PA
National Provider Identifier
1255395901
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC03881L Issued in PA
Legal business name
FAMILY CHIROPRACTIC OF LANCASTER COUNTY LTD
Practice address
1717 Old Philadelphia Pike
Lancaster, PA 17602-2660
Phone
(717) 393-9955
Fax
(717) 393-6001
NPI assigned
Apr 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Martin James Rodgers, DCNPI 1972502094
Title
President
Phone
(717) 393-9955

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC03881L PA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC009475 PA

Addresses

Primary practice location

1717 Old Philadelphia Pike
Lancaster, PA 17602-2660

Mailing address

1717 Old Philadelphia Pike
Lancaster, PA 17602-2660
Phone (717) 393-9955

Other identifiers 2

IdentifierTypeStateIssuer
FA1839591OtherPAHIGHMARK BLUE SHIELD
1185269/01MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080625000615 PA Part B Supplier - Clinic/Group Practice 4183795750 Receives reassigned benefits from 2 practitioners
Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Locations

1717 Old Philadelphia Pike
Lancaster, PA 17602
Phone (717) 393-9955

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1255395901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 OLD PHILADELPHIA PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022660",
            "telephone_number": "717-393-9955",
            "fax_number": "717-393-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OLD PHILADELPHIA PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022660",
            "telephone_number": "717-393-9955",
            "fax_number": "717-393-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC OF LANCASTER COUNTY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-393-9955",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC03881L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009475",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "FA1839591",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1185269/01",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.