Organization Active NPI

Patrick Chiropractic Center, P.C.

  • Clinic/Center
  • Elizabethtown, PA
National Provider Identifier
1386877223
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC-005665-L Issued in PA
Legal business name
PATRICK CHIROPRACTIC CENTER, P.C.
Practice address
505 N Market St
Suite 101
Elizabethtown, PA 17022-1520
Phone
(717) 361-9130
Fax
(717) 689-5243
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Dr. David B. Patrick, D.C.
Title
President
Phone
(717) 361-9130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DC-005665-L PA Primary

Addresses

Primary practice location

505 N Market St
Suite 101
Elizabethtown, PA 17022-1520

Mailing address

505 N Market St
Suite 101
Elizabethtown, PA 17022-1520
Phone (717) 361-9130

Other identifiers 1

IdentifierTypeStateIssuer
01503292MedicaidPA

National Provider Directory

National Provider Directory

Locations

505 N Market St
Ste 101
Elizabethtown, PA 17022
Phone (717) 361-9130

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1386877223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N MARKET ST",
            "address_2": "SUITE 101",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221520",
            "telephone_number": "717-361-9130",
            "fax_number": "717-689-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MARKET ST",
            "address_2": "SUITE 101",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221520",
            "telephone_number": "717-361-9130",
            "fax_number": "717-689-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-361-9130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "DC-005665-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01503292",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.