Individual provider Active NPI

Wendy R Pehonsky, DC

  • Chiropractor
  • Hollidaysburg, PA
National Provider Identifier
1528182276
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC8661 Issued in PA
Practice address
310 Penn St
Suite 203
Hollidaysburg, PA 16648-2044
Phone
(814) 695-5699
Fax
(814) 695-5618
NPI assigned
Mar 19, 2007
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC8661 PA Primary

Addresses

Primary practice location

310 Penn St
Suite 203
Hollidaysburg, PA 16648-2044

Mailing address

1705 N Juniata St
Hollidaysburg, PA 16648-1919
Phone (814) 695-5699

Other practice location 1

1705 N Juniata St
Hollidaysburg, PA 16648-1919
Phone (814) 695-5699

Other identifiers 1

IdentifierTypeStateIssuer
0019229230001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161111000438 PA Practitioner - Chiropractic 7618154162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1705 N Juniata St
Hollidaysburg, PA 16648-1919
Phone (814) 695-5618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Chiropractic, PC Chiropractor CurrentSince Nov 1, 2002 Accepting new patients

Locations

1705 N Juniata St
Hollidaysburg, PA 16648
Phone (814) 695-5699

310 Penn St
Ste 203
Hollidaysburg, PA 16648
Phone (814) 695-5699

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1528182276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 N JUNIATA ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481919",
            "telephone_number": "814-695-5699",
            "fax_number": "814-695-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PENN ST",
            "address_2": "SUITE 203",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482044",
            "telephone_number": "814-695-5699",
            "fax_number": "814-695-5618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 N Juniata St",
            "address_purpose": "LOCATION",
            "city": "Hollidaysburg",
            "state": "PA",
            "postal_code": "166481919",
            "country_code": "US",
            "telephone_number": "814-695-5699",
            "fax_number": "814-695-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEHONSKY",
        "first_name": "WENDY",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC8661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019229230001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.