Charles Vann King II, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009018 Issued in PA

Practice address

606 Logan PL
Confluence, PA 15424-1022

Phone

(814) 395-9800

Fax

(814) 395-9803

NPI assigned

Feb 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yough Valley Chiropractic,PC

  • Chiropractor
  • Confluence, PA
  • NPI 1255549648
  Authorized official Same address or phone

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437122298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 LOGAN PL",
            "city": "CONFLUENCE",
            "state": "PA",
            "postal_code": "154241022",
            "telephone_number": "814-395-9800",
            "fax_number": "814-395-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 LOGAN PL",
            "city": "CONFLUENCE",
            "state": "PA",
            "postal_code": "154241022",
            "telephone_number": "814-395-9800",
            "fax_number": "814-395-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CHARLES",
        "middle_name": "VANN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019528060001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristie Clark-Stockwell
• Community Action Medical Services Corporation (Community Medical Services, Community Dental Services)
• Confluence Volunteer Fire Company (Confluence Community Ambulance Service)
• Jonico Inc (Yough Valley Pharmacy)
• Elizabeth McCauley
• Michele Anne Ralston
• Turkeyfoot Valley Area School District
• Yough Valley Chiropractic,PC

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

• 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.

Verify at the official NPI Registry.