NPIMap

Organization Active NPI

Iron Haven Gym & Chiropractic

  • Chiropractor
  • Carlisle, PA
National Provider Identifier
1255575940
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004892L Issued in PA
Legal business name
IRON HAVEN GYM & CHIROPRACTIC
Practice address
290 E Pomfret St
Suite #3
Carlisle, PA 17013-2579
Phone
(717) 243-6396
Fax
(717) 243-6444
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Matt NicastroNPI 1306815568
Title
Owner
Phone
(717) 243-6396

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 004892L PA Primary

Addresses

Primary practice location

290 E Pomfret St
Suite #3
Carlisle, PA 17013-2579

Mailing address

290 E Pomfret St
Suite #3
Carlisle, PA 17013-2579
Phone (717) 243-6396

National Provider Directory

National Provider Directory

Locations

290 E Pomfret St
Ste 3
Carlisle, PA 17013
Phone (717) 245-0400

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": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1255575940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E POMFRET ST",
            "address_2": "SUITE #3",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132579",
            "telephone_number": "717-243-6396",
            "fax_number": "717-243-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E POMFRET ST",
            "address_2": "SUITE #3",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132579",
            "telephone_number": "717-243-6396",
            "fax_number": "717-243-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON HAVEN GYM & CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "NICASTRO",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-243-6396"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "004892L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.