Active NPI
Christopher Guy Peechatka, D.C.
- Chiropractor
- Bartonsville, PA
National Provider Identifier
1265467153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006824 DC
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 006824 DC | PA | MD | Chiropractor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006824 DC | PA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.