Organization Active NPI

Jody L Rumbaugh Chiropractic & Wellness

  • Chiropractor
  • Connellsville, PA
National Provider Identifier
1477998268
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004775L Issued in PA
Legal business name
JODY L RUMBAUGH CHIROPRACTIC & WELLNESS
Practice address
133 N 2ND St
Connellsville, PA 15425-2501
Phone
(724) 628-4334
Fax
(724) 628-4337
NPI assigned
May 7, 2013
Last updated
May 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Dr. Jody Lynn Rumbaugh-Haggerty, D.C.
Title
Owner
Phone
(724) 628-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004775L PA Primary

Addresses

Primary practice location

133 N 2ND St
Connellsville, PA 15425-2501

Mailing address

133 N 2ND St
Connellsville, PA 15425-2501
Phone (724) 628-4334

Other identifiers 1

IdentifierTypeStateIssuer
0012400200001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130620000438 PA Part B Supplier - Clinic/Group Practice 0446499594 Receives reassigned benefits from 1 practitioner
Practice locations: Connellsville, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1477998268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N 2ND ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252501",
            "telephone_number": "724-628-4334",
            "fax_number": "724-628-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N 2ND ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252501",
            "telephone_number": "724-628-4334",
            "fax_number": "724-628-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODY L RUMBAUGH CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "RUMBAUGH-HAGGERTY",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-628-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004775L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012400200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.