Individual provider Active NPI

Warren J Raishart, D. C.

  • Chiropractor
  • Latrobe, PA
National Provider Identifier
1366457715
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007674L Issued in PA
Practice address
1202 Mission Rd
Latrobe, PA 15650-2827
Phone
(724) 539-9445
Fax
(724) 539-9445
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007674L PA Primary

Addresses

Primary practice location

1202 Mission Rd
Latrobe, PA 15650-2827

Mailing address

1202 Mission Rd.
Latrobe, PA 15650-2827
Phone (724) 539-9445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081007000044 PA Practitioner - Chiropractic 4183792955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 School St
Mars, PA 16046-3446
Phone (724) 687-7011

PO Box
Suite 936
Mars, PA 16046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC007674LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic and Wellness Center, LLC Chiropractor CurrentSince Oct 25, 2014 Accepting new patients
Larry E. Wilkins,, P.C. Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366457715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MISSION RD.",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502827",
            "telephone_number": "724-539-9445",
            "fax_number": "724-539-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MISSION RD",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502827",
            "telephone_number": "724-539-9445",
            "fax_number": "724-539-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISHART",
        "first_name": "WARREN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007674L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.