Organization Active NPI

Pagano Chiropractic Clinic, P.C.

  • Clinic/Center
  • Carrolltown, PA
National Provider Identifier
1285829465
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC007074L Issued in PA
Legal business name
PAGANO CHIROPRACTIC CLINIC, P.C.
Practice address
204 South Main Street
Carrolltown, PA 15722
Phone
(814) 344-8740
Fax
(814) 344-8748
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Steve Robert Pagano Jr., D.C.NPI 1184620833
Title
President
Phone
(814) 344-8740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DC007074L PA Primary

Addresses

Primary practice location

204 South Main Street
Carrolltown, PA 15722

Mailing address

PO Box 646
204 South Main Street
Carrolltown, PA 15722-0646
Phone (814) 344-8740

Other identifiers 1

IdentifierTypeStateIssuer
00171646005MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071220000501 PA Part B Supplier - Clinic/Group Practice 8628168101 Receives reassigned benefits from 2 practitioners
Practice locations: Carrolltown, PA

National Provider Directory

National Provider Directory

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": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1285829465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "address_2": "204 SOUTH MAIN STREET",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157220646",
            "telephone_number": "814-344-8740",
            "fax_number": "814-344-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SOUTH MAIN STREET",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "15722",
            "telephone_number": "814-344-8740",
            "fax_number": "814-344-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGANO CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "PAGANO",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-344-8740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "DC007074L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00171646005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrolltown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.