Organization Active NPI

Eshman Chiropractic Clinic, LLC

  • Chiropractor
  • Irwin, PA
National Provider Identifier
1447830880
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ESHMAN CHIROPRACTIC CLINIC, LLC
Practice address
11599 Parkway Dr
Irwin, PA 15642-2061
Phone
(412) 779-0773
NPI assigned
Apr 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Dr. Russell Jason Eshman, D.C.NPI 1669640975
Title
Chiropractor
Phone
(412) 779-0773

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 Primary

Addresses

Primary practice location

11599 Parkway Dr
Irwin, PA 15642-2061

Mailing address

511 Saddle Ridge Dr
Irwin, PA 15642-9204
Phone (412) 779-0773

Other identifiers 1

IdentifierTypeStateIssuer
1031153000002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211103000097 PA Part B Supplier - Clinic/Group Practice 7315335890 Receives reassigned benefits from 2 practitioners
Practice locations: Irwin, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1447830880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SADDLE RIDGE DR",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429204",
            "telephone_number": "412-779-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11599 PARKWAY DR",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156422061",
            "telephone_number": "412-779-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESHMAN CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "ESHMAN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "412-779-0773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031153000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.