Advanced Chiropractic of Bedford, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ADVANCED CHIROPRACTIC OF BEDFORD, LLC

Practice address

444 E. Penn St
Bedford, PA 15522-3765

Phone

(814) 623-6536

Fax

(814) 623-6304

NPI assigned

Apr 3, 2013

Last updated

Mar 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lance M Eckenrode, D.C.NPI 1508013095

Title

Owner/Chiropractor

Phone

(814) 623-6536

Specialties & licenses 1

Addresses

Other identifiers 1

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, and the practitioner matching its NPPES authorized official.

• Lance Michael Eckenrode, D.C.

  • Chiropractor
  • Bedford, PA
  • NPI 1508013095
  Medicare reassignment NPD Authorized official
• Thomas J Allen, D.C.

  • Chiropractor
  • Bedford, PA
  • NPI 1114041027
  NPD (past)

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1336482710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 LINCOLN HWY",
            "address_2": "UNIT 1 LINCOLN CENTER II",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155223765",
            "telephone_number": "814-623-6536",
            "fax_number": "814-623-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 E. PENN ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155223765",
            "telephone_number": "814-623-6536",
            "fax_number": "814-623-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC OF BEDFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "ECKENRODE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "814-623-6536",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021984420001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 136 Donahoe Manor Road Operations LLC (Bedford Skilling Nursing and Rehabilitation Center)
• Rebecca J Aikey, PA-C
• Allen Chiropractic Center Inc
• Thomas J Allen, D.C.
• Alternative Community Resource Program
• Alternative Community Resource Program Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.