Active NPI
David John Charney, D.C.
- Chiropractor
- Mill Hall, PA
National Provider Identifier
1346205143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009076
- Practice address
- 3076 Eagle Valley Rd.
Mill Hall, PA 17751-1626 - Phone
- (570) 726-2000
- Fax
- (570) 726-8012
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009076 | PA | Primary |
| Chiropractor | 111N00000X | AJ008899 | PA |
Addresses
Primary practice location
3076 Eagle Valley Rd.
Mill Hall, PA 17751-1626
Mailing address
3076 Eagle Valley Rd.
Mill Hall, PA 17751-1626
Phone (570) 726-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101092313-0001 | Medicaid | PA | |
| 1643145 | Other | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AJ008899 | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1346205143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3076 EAGLE VALLEY RD.",
"city": "MILL HALL",
"state": "PA",
"postal_code": "177511626",
"telephone_number": "570-726-2000",
"fax_number": "570-726-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3076 EAGLE VALLEY RD.",
"city": "MILL HALL",
"state": "PA",
"postal_code": "177511626",
"telephone_number": "570-726-2000",
"fax_number": "570-726-8012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARNEY",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009076",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "AJ008899",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101092313-0001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1643145",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mill Hall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.