Individual provider Active NPI

Joshua Timothy Ball, D.C.

  • Chiropractor
  • Elizabethtown, PA
National Provider Identifier
1255579017
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010616 Issued in PA
Practice address
36 S Market St Ste 101
Elizabethtown, PA 17022-2352
Phone
(717) 367-3100
Fax
(717) 367-9200
NPI assigned
Jan 30, 2009
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011480 NY
Chiropractor 111N00000X DC10616 PA
Chiropractor 111N00000X DC010616 PA Primary

Addresses

Primary practice location

36 S Market St Ste 101
Elizabethtown, PA 17022-2352

Mailing address

36 S Market St Ste 101
Elizabethtown, PA 17022-2352
Phone (717) 367-3100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415000151 PA Practitioner - Chiropractic 5395063754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29 S Market St
Suite 102
Elizabethtown, PA 17022-2384

36 S Market St
Suite 101
Elizabethtown, PA 17022-2352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC10616PAMDChiropractor
011480NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Chiropractic Chiropractor CurrentSince Oct 20, 2014 Accepting new patients

Locations

29 S Market St
#102
Elizabethtown, PA 17022

29 S Market St
Ste 102
Elizabethtown, PA 17022

36 S Market St
Ste 101
Elizabethtown, PA 17022
Phone (717) 367-3100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1255579017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 S MARKET ST STE 101",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222352",
            "telephone_number": "717-367-3100",
            "fax_number": "717-367-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 S MARKET ST STE 101",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222352",
            "telephone_number": "717-367-3100",
            "fax_number": "717-367-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "JOSHUA",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011480",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC10616",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.