Organization Active NPI

Healthy Living Chiropractic, LLC.

  • Chiropractor
  • Williamsport, PA
National Provider Identifier
1366423949
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-004739-L Issued in PA
Legal business name
HEALTHY LIVING CHIROPRACTIC, LLC.
Practice address
2403 Lycoming Creek Rd
Williamsport, PA 17701-1163
Phone
(570) 494-1133
Fax
(570) 494-1133
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Darrin L. Wascher, D.C.NPI 1922089317
Title
Sole Member
Phone
(570) 494-1133

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 DC-004739-L PA Primary

Addresses

Primary practice location

2403 Lycoming Creek Rd
Williamsport, PA 17701-1163

Mailing address

2403 Lycoming Creek Rd
Williamsport, PA 17701-1163
Phone (570) 494-1133

Other identifiers 1

IdentifierTypeStateIssuer
101145954MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041122000066 PA Part B Supplier - Clinic/Group Practice 8729043518 Receives reassigned benefits from 1 practitioner
Practice locations: Williamsport, PA

National Provider Directory

National Provider Directory

Locations

2403 Lycoming Creek Rd
Williamsport, PA 17701
Phone (570) 494-1133

Practitioners & affiliated clinicians

Practitioners 2

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": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1366423949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 LYCOMING CREEK RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011163",
            "telephone_number": "570-494-1133",
            "fax_number": "570-494-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 LYCOMING CREEK RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011163",
            "telephone_number": "570-494-1133",
            "fax_number": "570-494-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING CHIROPRACTIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "WASCHER",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "570-494-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-004739-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101145954",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.