Individual provider Active NPI

Rhyan Kievel Mercado, D.C.

  • Chiropractor
  • Pittston, PA
National Provider Identifier
1285818294
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009878 Issued in PA
Practice address
84 S Main St
Pittston, PA 18640-1713
Phone
(570) 654-0036
Fax
(570) 654-7890
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AJ009694 PA
Chiropractor 111N00000X DC009878 PA Primary

Addresses

Primary practice location

84 S Main St
Pittston, PA 18640-1713

Mailing address

84 S Main St
Pittston, PA 18640-1713
Phone (570) 654-0036

Other practice location 1

2200 Hamilton St
Suite 215
Allentown, PA 18104-6337
Phone (610) 351-8297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AJ009694PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rhyan Mercado DC Chiropractor CurrentSince Mar 18, 2015 Accepting new patients
Tunkhannock Chiropractic, LLC PastSince Jan 1, 2008 Accepting new patients
Comprehensive Chiropractic, PC Chiropractor Past Accepting new patients
James R McDermott DC PC Chiropractor Past Accepting new patients

Locations

84 S Main St
Pittston, PA 18640
Phone (570) 654-0036

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1285818294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 S MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401713",
            "telephone_number": "570-654-0036",
            "fax_number": "570-654-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 S MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401713",
            "telephone_number": "570-654-0036",
            "fax_number": "570-654-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Hamilton St",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181046337",
            "country_code": "US",
            "telephone_number": "610-351-8297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "RHYAN",
        "middle_name": "KIEVEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ009694",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.