Organization Active NPI

Forest Hilltop Chiropractic Assoc.

  • Chiropractor
  • Johnstown, PA
National Provider Identifier
1437224565
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007072-L Issued in PA
Legal business name
FOREST HILLTOP CHIROPRACTIC ASSOC.
Practice address
1837 Goucher St
Suite #1
Johnstown, PA 15905-9506
Phone
(814) 255-7292
Fax
(814) 255-6742
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Lance C Bosserman, D.C.NPI 1497839534
Title
Part Owner
Phone
(814) 255-7292

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC007072-L PA Primary

Addresses

Primary practice location

1837 Goucher St
Suite #1
Johnstown, PA 15905-9506

Mailing address

1837 Goucher St
Suite #1
Johnstown, PA 15905-9506
Phone (814) 255-7292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050425000526 PA Part B Supplier - Clinic/Group Practice 6103864657 Receives reassigned benefits from 3 practitioners
Practice locations: Johnstown, PA

National Provider Directory

National Provider Directory

Locations

718 2nd St
Cresson, PA 16630
Phone (814) 886-9200

1837 Goucher St
Ste 1
Johnstown, PA 15905
Phone (814) 255-7292

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1437224565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 GOUCHER ST",
            "address_2": "SUITE #1",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159059506",
            "telephone_number": "814-255-7292",
            "fax_number": "814-255-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 GOUCHER ST",
            "address_2": "SUITE #1",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159059506",
            "telephone_number": "814-255-7292",
            "fax_number": "814-255-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLTOP CHIROPRACTIC ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "BOSSERMAN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "814-255-7292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007072-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.