Organization Active NPI

Susquehanna Valley Chiropractic and Rehabilitation

  • Chiropractor
  • York, PA
National Provider Identifier
1417233602
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010295 Issued in PA
Legal business name
SUSQUEHANNA VALLEY CHIROPRACTIC AND REHABILITATION
Practice address
236 N George St
Suite 105
York, PA 17401-1108
Phone
(717) 515-8116
Fax
(717) 650-2547
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Dr. Jared Daniel Stubblefield, D.C.
Title
Chiropractor
Phone
(717) 515-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC010295 PA Primary

Addresses

Primary practice location

236 N George St
Suite 105
York, PA 17401-1108

Mailing address

100 Dew Drop CT
York, PA 17403-4940
Phone (717) 515-8116

National Provider Directory

National Provider Directory

Locations

236 N George St
#105
York, PA 17401
Phone (717) 515-8116

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1417233602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEW DROP CT",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034940",
            "telephone_number": "717-515-8116",
            "fax_number": "717-650-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N GEORGE ST",
            "address_2": "SUITE 105",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011108",
            "telephone_number": "717-515-8116",
            "fax_number": "717-650-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA VALLEY CHIROPRACTIC AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "717-515-8116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.