Active NPI
Family Chiropractic of Lancaster County LTD
- Chiropractor
- Lancaster, PA
National Provider Identifier
1255395901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC03881L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin James Rodgers, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC03881L | PA | Primary |
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FA1839591 | Other | PA | HIGHMARK BLUE SHIELD |
| 1185269/01 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Lancaster, PA
- NPI 1972502094
-
- Chiropractor
- Lancaster, PA
- NPI 1740273051
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.