Organization Active NPI

Brown Chiropractic

  • Chiropractor
  • Dunmore, PA
National Provider Identifier
1306034236
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0004338-L Issued in PA
Legal business name
BROWN CHIROPRACTIC
Practice address
1767 Quincy Ave
Dunmore, PA 18509-2132
Phone
(570) 341-5544
Fax
(570) 341-5545
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Carol Jane Wallace
Title
Office Manager
Phone
(570) 341-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0004338-L PA Primary

Addresses

Primary practice location

1767 Quincy Ave
Dunmore, PA 18509-2132

Mailing address

1767 Quincy Ave
Dunmore, PA 18509-2132
Phone (570) 341-5544

Other identifiers 1

IdentifierTypeStateIssuer
0012212490002MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1306034236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 QUINCY AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092132",
            "telephone_number": "570-341-5544",
            "fax_number": "570-341-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 QUINCY AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092132",
            "telephone_number": "570-341-5544",
            "fax_number": "570-341-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-341-5544"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC0004338-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012212490002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.