NPIMap

Organization Active NPI

Wilkes Barre Chiropractic and Rehabilitition Inc

  • Chiropractor
  • Wilkes Barre, PA
National Provider Identifier
1366740441
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004442L Issued in PA
Legal business name
WILKES BARRE CHIROPRACTIC AND REHABILITITION INC
Practice address
380 Old River Rd
Wilkes Barre, PA 18702-1561
Phone
(570) 825-5535
Fax
(570) 825-5536
NPI assigned
Mar 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
David Bruce Lewis
Title
President
Phone
(570) 606-9707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC004442L PA Primary

Addresses

Primary practice location

380 Old River Rd
Wilkes Barre, PA 18702-1561

Mailing address

380 Old River Rd
Wilkes Barre, PA 18702-1561
Phone (570) 825-5535

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1366740441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 OLD RIVER RD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187021561",
            "telephone_number": "570-825-5535",
            "fax_number": "570-825-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 OLD RIVER RD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187021561",
            "telephone_number": "570-825-5535",
            "fax_number": "570-825-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES BARRE CHIROPRACTIC AND REHABILITITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-606-9707"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004442L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.