Individual provider Active NPI

Krysta Joy Michael O'Neill, D.C.

  • Chiropractor
  • Lewisburg, PA
National Provider Identifier
1306250899
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010894 Issued in PA
Practice address
618 Equestrian LN
Lewisburg, PA 17837-6647
Phone
(717) 725-8262
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010894 PA Primary

Addresses

Primary practice location

618 Equestrian LN
Lewisburg, PA 17837-6647

Mailing address

766 Lititz Pike
Lititz, PA 17543-7314
Phone (717) 627-0365

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140818000501 PA Practitioner - Chiropractic 2163649039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lititz Family Chiropractic PLLCGroup PAC ID 8325264898, 3 clinicians

Practice addresses (Care Compare)

766 Lititz Pike
Lititz, PA 17543-7314
Phone (717) 627-0365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lititz Family Chiropractic PLLC Chiropractor CurrentSince Jul 6, 2014 Accepting new patients

Locations

766 Lititz Pike
Lititz, PA 17543
Phone (570) 238-4582

Organizations & group practices 1

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1306250899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 LITITZ PIKE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437314",
            "telephone_number": "717-627-0365",
            "fax_number": "717-627-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 EQUESTRIAN LN",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376647",
            "telephone_number": "717-725-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "KRYSTA",
        "middle_name": "JOY MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.