Individual provider Active NPI

Charles Asoka Jangdhari, DC

  • Chiropractor
  • Smoketown, PA
National Provider Identifier
1376595553
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002272L Issued in PA
Practice address
307 Airport Road
Smoketown, PA 17576
Phone
(717) 299-1267
NPI assigned
May 16, 2006
Last updated
Feb 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002272L PA Primary

Addresses

Primary practice location

307 Airport Road
Smoketown, PA 17576

Mailing address

307 Airport Road
Smoketown, PA 17576
Phone (717) 293-9748

Other identifiers 3

IdentifierTypeStateIssuer
105719OtherASHN
1736734OtherHIGHMARK
2363940000OtherIBC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404001037 PA Practitioner - Chiropractic 1254387699 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jangdhari Family Chiropractic Chiropractor PastSince Jan 1, 1990 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1376595553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 AIRPORT ROAD",
            "city": "SMOKETOWN",
            "state": "PA",
            "postal_code": "17576",
            "telephone_number": "717-293-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 AIRPORT ROAD",
            "city": "SMOKETOWN",
            "state": "PA",
            "postal_code": "17576",
            "telephone_number": "717-299-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANGDHARI",
        "first_name": "CHARLES",
        "middle_name": "ASOKA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002272L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "105719",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1736734",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2363940000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smoketown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.