Organization Active NPI

Milesburg Chiropractic

  • Chiropractor
  • Milesburg, PA
National Provider Identifier
1295940740
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007296L Issued in PA
Legal business name
MILESBURG CHIROPRACTIC
Practice address
114 Turnpike Street
Milesburg, PA 16853
Phone
(814) 353-9755
NPI assigned
May 10, 2007
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Joseph E Hale, DCNPI 1184634750
Title
President
Phone
(814) 353-9755

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
Chiropractor 111N00000X DC007296L PA Primary

Addresses

Primary practice location

114 Turnpike Street
Milesburg, PA 16853

Mailing address

PO Box 942
Milesburg, PA 16853-0942
Phone (814) 353-9755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421000621 PA Part B Supplier - Clinic/Group Practice 3779521513 Receives reassigned benefits from 1 practitioner
Practice locations: Milesburg, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1295940740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "city": "MILESBURG",
            "state": "PA",
            "postal_code": "168530942",
            "telephone_number": "814-353-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 TURNPIKE STREET",
            "city": "MILESBURG",
            "state": "PA",
            "postal_code": "16853",
            "telephone_number": "814-353-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESBURG CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-353-9755",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007296L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.