Organization Active NPI

Vitamin Doctor Wellness & Chiropractic Ctr. P.C.

  • Clinic/Center
  • Greensburg, PA
National Provider Identifier
1477709400
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC4240 Issued in PA
Legal business name
VITAMIN DOCTOR WELLNESS & CHIROPRACTIC CTR. P.C.
Practice address
161 Old Route 30 Ste 3
Greensburg, PA 15601-7553
Phone
(724) 850-7550
Fax
(724) 850-7550
NPI assigned
Aug 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. Richard K. Marshall, DC
Title
President
Phone
(724) 850-7550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DC4240 PA Primary

Addresses

Primary practice location

161 Old Route 30 Ste 3
Greensburg, PA 15601-7553

Mailing address

161 Old Route 30 Ste 3
Greensburg, PA 15601-7553
Phone (724) 850-7550

Other identifiers 1

IdentifierTypeStateIssuer
020549Y90OtherPAMEDICARE GROUP MEMBER PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

161 Old Route 30
Ste 3
Greensburg, PA 15601
Phone (724) 834-7100

Practitioners & affiliated clinicians

Practitioners 1

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": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1477709400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 OLD ROUTE 30 STE 3",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017553",
            "telephone_number": "724-850-7550",
            "fax_number": "724-850-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 OLD ROUTE 30 STE 3",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017553",
            "telephone_number": "724-850-7550",
            "fax_number": "724-850-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAMIN DOCTOR WELLNESS & CHIROPRACTIC CTR. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-850-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "DC4240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP MEMBER PROVIDER NUMBER",
            "identifier": "020549Y90",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.