Individual provider Active NPI

Christopher Guy Peechatka, D.C.

  • Chiropractor
  • Bartonsville, PA
National Provider Identifier
1265467153
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006824 DC Issued in PA
Practice address
3199 Route 611
Bartonsville, PA 18321-7808
Phone
(570) 629-6829
Fax
(866) 584-6408
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Shine Hill Rd
Henryville, PA 18332-7791
Phone (570) 629-6829

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120308000062 PA Practitioner - Chiropractic 2163681396 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
006824 DCPAMDChiropractor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006824 DC PA Primary

Addresses

NPPES NPI Registry

Primary practice location

3199 Route 611
Bartonsville, PA 18321-7808

Mailing address

3199 Route 611
Bartonsville, PA 18321-7808
Phone (570) 629-6829

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2016.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1265467153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 ROUTE 611",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217808",
            "telephone_number": "570-629-6829",
            "fax_number": "866-584-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3199 ROUTE 611",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217808",
            "telephone_number": "570-629-6829",
            "fax_number": "866-584-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEECHATKA",
        "first_name": "CHRISTOPHER",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "006824 DC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartonsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.