NPIMap

Organization Active NPI

McKolosky Chiropractic, P.C.

Doing business as McKolosky Chiropractic

  • Chiropractor
  • Johnstown, PA
National Provider Identifier
1346870987
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MCKOLOSKY CHIROPRACTIC, P.C.
Doing business as
McKolosky Chiropractic
Practice address
401 Theatre Dr
Johnstown, PA 15904-2838
Phone
(814) 269-3116
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Stephanie Huntsman
Title
Office Manager
Phone
(814) 269-3116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

401 Theatre Dr
Johnstown, PA 15904-2838

Mailing address

401 Theatre Dr
Johnstown, PA 15904-2838

Other names 1

  • McKolosky Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420001016 PA Part B Supplier - Clinic/Group Practice 4789622713 Receives reassigned benefits from 5 practitioners
Practice locations: Johnstown, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1346870987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 THEATRE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 THEATRE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042838",
            "telephone_number": "814-269-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKOLOSKY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-12-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "HUNTSMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-269-3116"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKolosky Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McKolosky Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.