NPIMap

Organization Active NPI

Keystone Spine Research, Somatic Studies and Orthopaedic Therapy

  • Chiropractor
  • Uniontown, PA
National Provider Identifier
1477754596
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4928L Issued in PA
Legal business name
KEYSTONE SPINE RESEARCH, SOMATIC STUDIES AND ORTHOPAEDIC THERAPY
Practice address
111 E Main St
Uniontown, PA 15401-3607
Phone
(724) 437-9020
Fax
(724) 437-0295
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
David James Light, DCNPI 1275742975
Title
Chiropractor
Phone
(724) 437-9020

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 4928L PA Primary

Addresses

Primary practice location

111 E Main St
Uniontown, PA 15401-3607

Mailing address

111 E Main St
Uniontown, PA 15401-3607
Phone (724) 437-9020

Other identifiers 4

IdentifierTypeStateIssuer
1043386OtherWVWV WORK COMP PROVIDER
351224OtherPAHIGHMARK BC BS GROUP NO
1539534OtherPAGATEWAY PROVIDER
1619126MedicaidPA

National Provider Directory

National Provider Directory

Locations

111 E Main St
Uniontown, PA 15401
Phone (724) 437-9020

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1477754596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013607",
            "telephone_number": "724-437-9020",
            "fax_number": "724-437-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013607",
            "telephone_number": "724-437-9020",
            "fax_number": "724-437-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE SPINE RESEARCH, SOMATIC STUDIES AND ORTHOPAEDIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "724-437-9020",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "4928L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV  WORK COMP PROVIDER",
            "identifier": "1043386",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS GROUP NO",
            "identifier": "351224",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY PROVIDER",
            "identifier": "1539534",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619126",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.