Organization Active NPI

Stewart Chiropractic Center, PC

  • Chiropractor
  • Harrison City, PA
National Provider Identifier
1417102740
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STEWART CHIROPRACTIC CENTER, PC
Practice address
3472 Route 130
Harrison City, PA 15636-1203
Phone
(724) 744-0020
Fax
(724) 744-0020
NPI assigned
Dec 1, 2008
Last updated
Apr 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Mr. Jeffery David Stewart, D.C.NPI 1710066261
Title
President
Phone
(724) 744-0020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3472 Route 130
Harrison City, PA 15636-1203

Mailing address

3472 Route 130
Harrison, PA 15636-2797
Phone (724) 744-0020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210830000066 PA Part B Supplier - Clinic/Group Practice 8729483755 Receives reassigned benefits from 1 practitioner
Practice locations: Harrison City, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1417102740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 ROUTE 130",
            "city": "HARRISON",
            "state": "PA",
            "postal_code": "156362797",
            "telephone_number": "724-744-0020",
            "fax_number": "724-744-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 ROUTE 130",
            "city": "HARRISON CITY",
            "state": "PA",
            "postal_code": "156361203",
            "telephone_number": "724-744-0020",
            "fax_number": "724-744-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-744-0020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.