Active NPI
Constance D Haber, DC
- Chiropractor
- Monroeville, PA
National Provider Identifier
1538211636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-001169-L
- Practice address
- 2571 Mosside Blvd
Suite 3
Monroeville, PA 15146-3576 - Phone
- (412) 372-7900
- Fax
- (412) 372-7911
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thermography Chiropractor | 111NT0100X | 001169L | PA | |
| Orthopedic Chiropractor | 111NX0800X | 001169L | PA | |
| Chiropractor | 111N00000X | DC-001169-L | PA | Primary |
Addresses
Primary practice location
2571 Mosside Blvd
Suite 3
Monroeville, PA 15146-3576
Mailing address
2571 Mosside Blvd
Suite 3
Monroeville, PA 15146-3576
Phone (412) 372-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00631206 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-001169-L | PA | MD | Chiropractor |
| 001169L | PA | MD | Thermography Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1538211636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2571 MOSSIDE BLVD",
"address_2": "SUITE 3",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463576",
"telephone_number": "412-372-7900",
"fax_number": "412-372-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2571 MOSSIDE BLVD",
"address_2": "SUITE 3",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463576",
"telephone_number": "412-372-7900",
"fax_number": "412-372-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABER",
"first_name": "CONSTANCE",
"middle_name": "D",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NT0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Thermography",
"state": "PA",
"license": "001169L",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "PA",
"license": "001169L",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-001169-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00631206",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.