Waters Chiropractic Center P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007292L Issued in PA

Legal business name

WATERS CHIROPRACTIC CENTER P.C.

Practice address

115 E Walnut St
Lebanon, PA 17042-5522

Phone

(717) 277-8061

Fax

(717) 277-0613

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen M Waters, D.C.NPI 1902877293

Title

President

Phone

(717) 277-0612

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Michael Waters, D.C.

  • Chiropractor
  • Lebanon, PA
  • NPI 1902877293
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1306972146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E WALNUT ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425522",
            "telephone_number": "717-277-8061",
            "fax_number": "717-277-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E WALNUT ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425522",
            "telephone_number": "717-277-8061",
            "fax_number": "717-277-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERS CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-277-0612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007292L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50013490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERI HEALTH MERCY",
            "identifier": "20060432",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANCE BLUE CROSS",
            "identifier": "0763651000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1696780",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "410721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "410721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "485449",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Warehime
• Jacqueline Warrington, CADC
• Muhammad Talha Waseem, MD
• Catherine Waselkov, CRNP
• Inga Rachelle Washington, PHARM.D. BCPS
• Stephen Michael Waters, D.C.
• Michael Roy Watson, MD
• Jennifer Anne Weaver
• Jody Lynn Weaver
• Michael A Weaver, MD

• Chiropractor in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.