Organization Active NPI

Dennis T. Rehrig DC PC

  • Chiropractor
  • Media, PA
National Provider Identifier
1265533632
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001694L Issued in PA
Legal business name
DENNIS T. REHRIG DC PC
Doing business as
Rehrig Chiropractic & Wellness Center
Practice address
200 E State St
Ste 104
Media, PA 19063-3434
Phone
(610) 566-9040
Fax
(610) 566-9038
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Miss Sandy Garr
Title
Finance & Insurance Manager
Phone
(610) 566-9040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC001694L PA Primary

Addresses

Primary practice location

200 E State St
Ste 104
Media, PA 19063-3434

Mailing address

200 E State St
Ste 104
Media, PA 19063-3434
Phone (610) 566-9040

Other identifiers 8

IdentifierTypeStateIssuer
5133326OtherPAAETNA NON HMO GROUP
2357837000OtherPAKEYSTONE HMO GROUP
0032840000OtherPAKEYSTONE ID
4396993OtherPAAETNA NON HMO ID
1682206OtherPAPERSONAL CHOICE GROUP
17511OtherPAPERSONAL CHOICE ID
3732747OtherPAAETNA HMO GROUP
51864OtherPAAETNA ID

Other names 1

  • Rehrig Chiropractic & Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411000132 PA Part B Supplier - Clinic/Group Practice 4880631027 Receives reassigned benefits from 1 practitioner
Practice locations: Media, PA

National Provider Directory

National Provider Directory

Locations

200 E State St
Ste 104
Media, PA 19063
Phone (215) 566-9040

Practitioners & affiliated clinicians

Practitioners 3

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1265533632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E STATE ST",
            "address_2": "STE 104",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633434",
            "telephone_number": "610-566-9040",
            "fax_number": "610-566-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E STATE ST",
            "address_2": "STE 104",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633434",
            "telephone_number": "610-566-9040",
            "fax_number": "610-566-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS T. REHRIG DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "GARR",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "FINANCE & INSURANCE MANAGER",
        "authorized_official_telephone_number": "610-566-9040",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001694L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO GROUP",
            "identifier": "5133326",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HMO GROUP",
            "identifier": "2357837000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE ID",
            "identifier": "0032840000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO ID",
            "identifier": "4396993",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE GROUP",
            "identifier": "1682206",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE ID",
            "identifier": "17511",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP",
            "identifier": "3732747",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "51864",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehrig Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.