Organization Active NPI

Pain Relief Chiropractic PC

  • Chiropractor
  • Mechanicsburg, PA
National Provider Identifier
1346752227
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009972 Issued in PA
Legal business name
PAIN RELIEF CHIROPRACTIC PC
Practice address
4909 Louise Dr Ste 102
Mechanicsburg, PA 17055-6900
Phone
(717) 697-1888
Fax
(717) 697-1700
NPI assigned
Oct 31, 2017
Last updated
Jan 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Brent Geoffrey Binder, MS, DC
Title
President
Phone
(717) 697-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009972 PA Primary

Addresses

Primary practice location

4909 Louise Dr Ste 102
Mechanicsburg, PA 17055-6900

Mailing address

4909 Louise Dr Ste 102
Mechanicsburg, PA 17055-6900
Phone (717) 697-1888

Other identifiers 1

IdentifierTypeStateIssuer
131358MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1346752227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 LOUISE DR STE 102",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556900",
            "telephone_number": "717-697-1888",
            "fax_number": "717-697-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 LOUISE DR STE 102",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556900",
            "telephone_number": "717-697-1888",
            "fax_number": "717-697-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "BINDER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "GEOFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-697-1888",
        "authorized_official_credential": "MS, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131358",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.