NPIMap

Organization Active NPI

Lancaster Chiropractic Clinic

  • Orthopedic Chiropractor
  • Lancaster, PA
National Provider Identifier
1497934756
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC002030L Issued in PA
Legal business name
LANCASTER CHIROPRACTIC CLINIC
Practice address
2827 Marietta Ave
Lancaster, PA 17601-2101
Phone
(717) 898-2400
Fax
(717) 898-7543
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Craig Tyler Mandel, DCNPI 1215049713
Title
Owner
Phone
(717) 898-2400

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
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X DC002030L PA Primary

Addresses

Primary practice location

2827 Marietta Ave
Lancaster, PA 17601-2101

Mailing address

2827 Marietta Ave
Lancaster, PA 17601-2101
Phone (717) 898-2400

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.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1497934756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 MARIETTA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012101",
            "telephone_number": "717-898-2400",
            "fax_number": "717-898-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 MARIETTA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012101",
            "telephone_number": "717-898-2400",
            "fax_number": "717-898-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-898-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "PA",
            "license": "DC002030L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.