NPIMap

Organization Active NPI

Chiropractic Associates of N.E.P.a PC

  • Chiropractor
  • Scranton, PA
National Provider Identifier
1275679748
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008716 Issued in PA
Legal business name
CHIROPRACTIC ASSOCIATES OF N.E.P.A PC
Practice address
1789 North Keyser Avenue
Suite 1
Scranton, PA 18508
Phone
(570) 558-2225
Fax
(570) 558-2226
NPI assigned
Jan 30, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Ms. Kathy Ravavich
Title
Office Manager
Phone
(570) 558-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008716 PA Primary
Physical Therapist 225100000X AJ008700 PA

Addresses

Primary practice location

1789 North Keyser Avenue
Suite 1
Scranton, PA 18508

Mailing address

1789 North Keyser Avenue
Suite 1
Scranton, PA 18508
Phone (570) 558-2225

Other identifiers 2

IdentifierTypeStateIssuer
ST1398226OtherPABCBS
815091OtherPAFPH

National Provider Directory

National Provider Directory

Locations

1512 N Main Ave
Scranton, PA 18508
Phone (570) 558-2225

1789 N Keyser Ave
Ste 1
Scranton, PA 18508
Phone (570) 558-2225

Practitioners & affiliated clinicians

Practitioners 7

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1275679748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 NORTH KEYSER AVENUE",
            "address_2": "SUITE 1",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18508",
            "telephone_number": "570-558-2225",
            "fax_number": "570-558-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 NORTH KEYSER AVENUE",
            "address_2": "SUITE 1",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18508",
            "telephone_number": "570-558-2225",
            "fax_number": "570-558-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC ASSOCIATES OF N.E.P.A PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "RAVAVICH",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-558-2225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008716",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "AJ008700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "ST1398226",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPH",
            "identifier": "815091",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.