Individual provider Active NPI

Stephen J Pennell, DC

  • Chiropractor
  • Cranberry TWP, PA
National Provider Identifier
1306878384
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002083L Issued in PA
Practice address
20421 Perry Hwy
Ste 100 Butler Centre
Cranberry TWP, PA 16066
Phone
(724) 776-5800
Fax
(724) 776-6682
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002083L PA Primary

Addresses

Primary practice location

20421 Perry Hwy
Ste 100 Butler Centre
Cranberry TWP, PA 16066

Mailing address

20421 Perry Hwy
Ste 100 Butler Centre
Cranberry TWP, PA 16066
Phone (724) 776-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Chiropractic PLLC Chiropractor PastSince Jan 1, 2023 Accepting new patients

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306878384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20421 PERRY HWY",
            "address_2": "STE 100 BUTLER CENTRE",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "16066",
            "telephone_number": "724-776-5800",
            "fax_number": "724-776-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20421 PERRY HWY",
            "address_2": "STE 100 BUTLER CENTRE",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "16066",
            "telephone_number": "724-776-5800",
            "fax_number": "724-776-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNELL",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002083L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

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