Individual provider Active NPI

David John Charney, D.C.

  • Chiropractor
  • Mill Hall, PA
National Provider Identifier
1346205143
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009076 Issued in PA
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

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101092313-0001MedicaidPA
1643145OtherBCBS

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

LicenseStateTypeSpecialty
AJ008899PAMDChiropractor

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.

Verify at the official NPI Registry.