Altoona Chiropractic Life Center Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC001390-L Issued in PA

Legal business name

ALTOONA CHIROPRACTIC LIFE CENTER INC.

Practice address

1405 East Walton Avenue
Altoona, PA 16602

Phone

(814) 946-0279

Fax

(814) 946-9039

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Harry Joseph Fye Jr., D.C.

Title

President

Phone

(814) 946-0279

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Brett Allen Fye, D.C.

  • Chiropractor
  • Altoona, PA
  • NPI 1699756205
  Medicare reassignment NPD
• Errol Jomar Silva, D.C.

  • Chiropractor
  • Altoona, PA
  • NPI 1982005864
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316017247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 EAST WALTON AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-946-0279",
            "fax_number": "814-946-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 EAST WALTON AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-946-0279",
            "fax_number": "814-946-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTOONA CHIROPRACTIC LIFE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FYE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-946-0279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001390-L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009194",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006347810001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009207200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Louise Altiero
• Altoona Adult Day Care, Inc.
• Altoona Area School District
• Altoona Area School District Ei
• Altoona Center for Oral and Maxillofacial Surgery, LLC
• Altoona Dentistry Implants Dentures, Inc.
• Altoona Dermatology Associates Inc
• Altoona Dermatology Associates LLC
• Altoona Endocrine Services, L.L.C
• Altoona Hand and Wrist Surgery, LLC

• All providers in Altoona, PA
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.