King Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DDC004705L Issued in PA

Legal business name

KING CHIROPRACTIC, INC.

Practice address

5305 State Route 405
Milton, PA 17847-7515

Phone

(570) 742-6325

Fax

(570) 742-7789

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shawn D King, D.C.NPI 1912981077

Title

President

Phone

(570) 742-6325

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Shawn David King, D.C.

  • Chiropractor
  • Milton, PA
  • NPI 1912981077

  PA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528077906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 STATE ROUTE 405",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178477515",
            "telephone_number": "570-742-6325",
            "fax_number": "570-742-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 STATE ROUTE 405",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178477515",
            "telephone_number": "570-742-6325",
            "fax_number": "570-742-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-742-6325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DDC004705L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "506276",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Maxfield Jones
• Oluchi Kalu, CRNP
• Beth Keller, NP-C
• A Edward Kessel Jr., D.D.S.
• Kevin M. Welch
• Shawn David King, D.C.
• Kramm Healthcare Center, Inc.
• Kramm Support Services
• Jill Laforme, LPC
• Terri Locke

• All providers in Milton, PA
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.