Organization Active NPI

Jangdhari Family Chiropractic PC

  • Chiropractor
  • Intercourse, PA
National Provider Identifier
1376835637
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002272L Issued in PA
Legal business name
JANGDHARI FAMILY CHIROPRACTIC PC
Practice address
7 Center Street
Intercourse, PA 17534-0067
Phone
(717) 768-7148
Fax
(717) 768-7149
NPI assigned
May 5, 2011
Last updated
Oct 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Dr. Jessica Kathleen Riehl, D.C.NPI 1093953317
Title
Chiropractor
Phone
(717) 768-7148

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC002272L PA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC009872 PA

Addresses

Primary practice location

7 Center Street
Intercourse, PA 17534-0067

Mailing address

PO Box 67
Intercourse, PA 17534-0067
Phone (717) 768-7148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150121001083 PA Part B Supplier - Clinic/Group Practice 0547584674 Receives reassigned benefits from 2 practitioners
Practice locations: Intercourse, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1376835637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "INTERCOURSE",
            "state": "PA",
            "postal_code": "175340067",
            "telephone_number": "717-768-7148",
            "fax_number": "717-768-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CENTER STREET",
            "city": "INTERCOURSE",
            "state": "PA",
            "postal_code": "175340067",
            "telephone_number": "717-768-7148",
            "fax_number": "717-768-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANGDHARI FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "RIEHL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "717-768-7148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002272L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Intercourse, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.