Organization Active NPI

Deleon's Chiropractic Health Center

  • Chiropractor
  • Clarks Summit, PA
National Provider Identifier
1366007254
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DELEON'S CHIROPRACTIC HEALTH CENTER
Practice address
402 N State St
Clarks Summit, PA 18411-1062
Phone
(570) 585-4290
Fax
(570) 585-4299
NPI assigned
May 6, 2019
Last updated
May 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Mrs. Ronda Dreyer
Title
Office Mamager
Phone
(570) 585-4290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

402 N State St
Clarks Summit, PA 18411-1062

Mailing address

402 N State St
Clarks Summit, PA 18411-1062
Phone (570) 585-4290

Other identifiers 1

IdentifierTypeStateIssuer
0016094150003MedicaidPA

National Provider Directory

National Provider Directory

Locations

402 N State St
Clarks Summit, PA 18411
Phone (570) 585-4290

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": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1366007254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111062",
            "telephone_number": "570-585-4290",
            "fax_number": "570-585-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111062",
            "telephone_number": "570-585-4290",
            "fax_number": "570-585-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELEON'S CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "DREYER",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "OFFICE MAMAGER",
        "authorized_official_telephone_number": "570-585-4290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016094150003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.