G & a Enterprises PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009149 Issued in PA

Legal business name

G & A ENTERPRISES PC

Doing business as

COMMUNITY CHIROPRACTIC CENTER

Practice address

RT 209 Regency Plaza
Ste 9
Brodheadsville, PA 18322-1221

Phone

(570) 992-1011

Fax

(570) 402-3534

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Lawrence A Wood Jr., DCNPI 1417921099

Title

Owner

Phone

(570) 992-1011

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• COMMUNITY CHIROPRACTIC CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Albert Wood V, DC

  • Chiropractor
  • Brodheadsville, PA
  • NPI 1417921099
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1427207307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1221",
            "address_2": "RT 209 REGENCY PLAZA STE 9",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183221221",
            "telephone_number": "570-992-1011",
            "fax_number": "570-402-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 209 REGENCY PLAZA",
            "address_2": "STE 9",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183221221",
            "telephone_number": "570-992-1011",
            "fax_number": "570-402-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & A ENTERPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-992-1011",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "001672673",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1417921099",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PETAN",
            "identifier": "088648TX8",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Brodheadsville, PA
• Providers in Brodheadsville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.