Organization Active NPI

Groteke Chiropractic Health Center, P.C.

  • Chiropractor
  • Stroudsburg, PA
National Provider Identifier
1295868677
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009176 Issued in PA
Legal business name
GROTEKE CHIROPRACTIC HEALTH CENTER, P.C.
Practice address
100 Pioneer LN Suite #3 RT 611
Stroudsburg, PA 18360
Phone
(570) 420-1600
Fax
(570) 420-8272
NPI assigned
Mar 14, 2007
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Thomas M Baker, D.C.
Title
Doctor
Phone
(570) 420-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC009176 PA Primary

Addresses

Primary practice location

100 Pioneer LN Suite #3 RT 611
Stroudsburg, PA 18360

Mailing address

100 Pioneer LN Suite #3 RT 611
Stroudsburg, PA 18360
Phone (570) 420-1600

National Provider Directory

National Provider Directory

Locations

2905 Rigsby Ln
Safety Harbor, FL 34695
Phone (727) 797-0500

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1295868677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PIONEER LN SUITE #3 RT 611",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "18360",
            "telephone_number": "570-420-1600",
            "fax_number": "570-420-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIONEER LN SUITE #3 RT 611",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "18360",
            "telephone_number": "570-420-1600",
            "fax_number": "570-420-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROTEKE CHIROPRACTIC HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "570-420-1600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.