Organization Active NPI

Sophia Grace Holding Co.

  • Chiropractor
  • Stewartstown, PA
National Provider Identifier
1356721997
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC550092L Issued in PA
Legal business name
SOPHIA GRACE HOLDING CO.
Practice address
7917 Pleasant Valley Rd
Stewartstown, PA 17363-7905
Phone
(717) 916-8192
Fax
(410) 728-3624
NPI assigned
Jun 8, 2015
Last updated
Jun 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Dale Joseph Castro, D.C.NPI 1023242351
Title
Owner
Phone
(717) 916-8192

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC550092L PA Primary

Addresses

Primary practice location

7917 Pleasant Valley Rd
Stewartstown, PA 17363-7905

Mailing address

7917 Pleasant Valley Rd
Stewartstown, PA 17363-7905
Phone (717) 916-8192

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1356721997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 PLEASANT VALLEY RD",
            "city": "STEWARTSTOWN",
            "state": "PA",
            "postal_code": "173637905",
            "telephone_number": "717-916-8192",
            "fax_number": "410-728-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7917 PLEASANT VALLEY RD",
            "city": "STEWARTSTOWN",
            "state": "PA",
            "postal_code": "173637905",
            "telephone_number": "717-916-8192",
            "fax_number": "410-728-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA GRACE HOLDING CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-916-8192",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC550092L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewartstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.