Organization Active NPI

Mihalko Chiropractic PC

Doing business as Stacey Mihalko DC

  • Chiropractor
  • Palmerton, PA
National Provider Identifier
1346314242
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007606L Issued in PA
Legal business name
MIHALKO CHIROPRACTIC PC
Doing business as
Stacey Mihalko DC
Practice address
217 Franklin Avenue
Suite 6
Palmerton, PA 18071
Phone
(610) 826-4136
Fax
(610) 824-6515
NPI assigned
Nov 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stacey Lynn Mihalko, DCNPI 1831383769
Title
President
Phone
(610) 826-4136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007606L PA Primary

Addresses

Primary practice location

217 Franklin Avenue
Suite 6
Palmerton, PA 18071

Mailing address

217 Franklin Avenue
Suite 6
Palmerton, PA 18071
Phone (610) 826-4136

Other identifiers 3

IdentifierTypeStateIssuer
1786509MedicaidPA
753161OtherPABS
753161OtherPACAP BC

Other names 1

  • Stacey Mihalko DC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100921000538 PA Part B Supplier - Clinic/Group Practice 1759406200 Receives reassigned benefits from 1 practitioner
Practice locations: Palmerton, PA

National Provider Directory

National Provider Directory

Locations

217 Franklin Ave
Ste 6
Palmerton, PA 18071
Phone (610) 826-4136

656 Delaware Ave
Palmerton, PA 18071
Phone (484) 707-4231

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346314242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 FRANKLIN AVENUE",
            "address_2": "SUITE 6",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "18071",
            "telephone_number": "610-826-4136",
            "fax_number": "610-824-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 FRANKLIN AVENUE",
            "address_2": "SUITE 6",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "18071",
            "telephone_number": "610-826-4136",
            "fax_number": "610-824-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIHALKO CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIHALKO",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-826-4136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007606L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1786509",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "753161",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP BC",
            "identifier": "753161",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacey Mihalko DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmerton, PA

Sources for this page

  • 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.