Heritage Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HERITAGE CHIROPRACTIC INC

Practice address

18 N Park Row
Waterford, PA 16441-8308

Phone

(814) 796-0077

Fax

(814) 796-1717

NPI assigned

Oct 5, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Luke T Pavkov, D.C.NPI 1013015742

Title

Owner, Chiropractor

Phone

(814) 796-0077

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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

• Luke T Pavkov, D.C.

  • Chiropractor
  • Waterford, PA
  • NPI 1013015742
  Medicare reassignment NPD Authorized official
• Sandra Erven, LMT

  • Massage Therapist
  • Waterford, PA
  • NPI 1881357846
  NPD (past)

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1487989786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N PARK ROW",
            "address_2": "PO BOX 77",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164418308",
            "telephone_number": "814-796-0077",
            "fax_number": "814-796-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N PARK ROW",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164418308",
            "telephone_number": "814-796-0077",
            "fax_number": "814-796-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "PAVKOV",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "814-796-0077",
        "authorized_official_name_prefix": "Mr.",
        "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": "1019619510001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Carr LPC
• Peter S Gibson, CCC-SLP
• Jennifer Good, LPC
• Goods Counseling Services LLC
• Hamot Health Foundation
• Martha Jane Herrick, LCSW
• Theresa Louise Holland
• Hospice Preferred Choice, Inc. (AseraCare Hospice)
• Ashley Huegel
• Anne Marie Hull, MA, NCC, LPC

• Chiropractor in Waterford, PA
• Providers in Waterford, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.