Organization Active NPI

Myers Family Chiropractic Center, LLC

  • Chiropractor
  • Erie, PA
National Provider Identifier
1255585188
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006633L Issued in PA
Legal business name
MYERS FAMILY CHIROPRACTIC CENTER, LLC
Practice address
8645 Peach St
Erie, PA 16509-4722
Phone
(814) 866-7041
Fax
(814) 866-6615
NPI assigned
Nov 5, 2008
Last updated
Oct 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Dr. Brian Keith Myers, DCNPI 1336169523
Title
Owner/DC
Phone
(814) 866-7041

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
Chiropractor 111N00000X DC009630 PA
Chiropractor 111N00000X DC006633L PA Primary

Addresses

Primary practice location

8645 Peach St
Erie, PA 16509-4722

Mailing address

8645 Peach St
Erie, PA 16509-4722
Phone (814) 866-7041

Other identifiers 2

IdentifierTypeStateIssuer
0015765480003MedicaidPA
1031332460001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090204000188 PA Part B Supplier - Clinic/Group Practice 3072677111 Receives reassigned benefits from 1 practitioner
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

8645 Peach St
Erie, PA 16509
Phone (814) 866-7041

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": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1255585188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165094722",
            "telephone_number": "814-866-7041",
            "fax_number": "814-866-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165094722",
            "telephone_number": "814-866-7041",
            "fax_number": "814-866-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERS FAMILY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/DC",
        "authorized_official_telephone_number": "814-866-7041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009630",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006633L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015765480003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031332460001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.