Active NPI
Brian John Piatak, DC
- Chiropractor
- Carbondale, PA
National Provider Identifier
1407944036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007832L
- Practice address
- 30 N Scott Street
Carbondale, PA 18407 - Phone
- (570) 282-5464
- Fax
- (570) 282-5349
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007832L | PA | Primary |
Addresses
Primary practice location
30 N Scott Street
Carbondale, PA 18407
Mailing address
30 N Scott Street
Carbondale, PA 18407
Phone (570) 282-5464
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1833299 | Medicaid | PA | |
| 670493 | Other | BLUE CROSS | |
| 818422 | Other | FIRST PRIORITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC007832L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407944036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N SCOTT STREET",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "18407",
"telephone_number": "570-282-5464",
"fax_number": "570-282-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N SCOTT STREET",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "18407",
"telephone_number": "570-282-5464",
"fax_number": "570-282-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIATAK",
"first_name": "BRIAN",
"middle_name": "JOHN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007832L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1833299",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "670493",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "818422",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Carbondale, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.