Fountain Mills Chiropractic, LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC009392 Issued in PA

Legal business name

FOUNTAIN MILLS CHIROPRACTIC, LLC

Practice address

17 N Chestnut St
Scottdale, PA 15683-1714

Phone

(724) 887-7269

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jon Pagliacci, D.C.NPI 1073711610

Title

Chiropractor/President

Phone

(724) 887-7269

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Michael Jon Pagliacci, D.C.

  • Rehabilitation Chiropractor
  • Scottdale, PA
  • NPI 1073711610
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1356535504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N CHESTNUT ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831714",
            "telephone_number": "724-887-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N CHESTNUT ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831714",
            "telephone_number": "724-887-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN MILLS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "PAGLIACCI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "724-887-7269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC009392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Scottdale, PA
• Providers in Scottdale, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.