Organization Active NPI

Chiropractic 1St LLC

  • Chiropractor
  • Lititz, PA
National Provider Identifier
1568419646
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008857 Issued in PA
Legal business name
CHIROPRACTIC 1ST LLC
Practice address
245 Bloomfield Drive
Suite 201
Lititz, PA 17543-7789
Phone
(717) 569-5075
Fax
(717) 569-5030
NPI assigned
May 27, 2006
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Dr. Matthew Peter Mullins, DCNPI 1801072947
Title
Chiropractor
Phone
(717) 569-5075

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
Chiropractor 111N00000X DC008857 PA Primary

Addresses

Primary practice location

245 Bloomfield Drive
Suite 201
Lititz, PA 17543-7789

Mailing address

245 Bloomfield Drive
Suite 201
Lititz, PA 17543-7789
Phone (717) 569-5075

Other identifiers 3

IdentifierTypeStateIssuer
001471947OtherPAHIGHMARK PROVIDER NUMBER
3741100OtherPAAETNA PROVIDER NUMBER
264884OtherPAHEALTHASSURANCE PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050328000468 PA Part B Supplier - Clinic/Group Practice 5991751521 Receives reassigned benefits from 2 practitioners
Practice locations: Lititz, PA

National Provider Directory

National Provider Directory

Locations

5513 Main St
East Petersburg, PA 17520
Phone (717) 569-5075

235 Bloomfield Dr
Ste 111B
Lititz, PA 17543
Phone (717) 569-5075

245 Bloomfield Dr
Ste 201
Lititz, PA 17543
Phone (717) 569-5075

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1568419646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BLOOMFIELD DRIVE",
            "address_2": "SUITE 201",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437789",
            "telephone_number": "717-569-5075",
            "fax_number": "717-569-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BLOOMFIELD DRIVE",
            "address_2": "SUITE 201",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437789",
            "telephone_number": "717-569-5075",
            "fax_number": "717-569-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC 1ST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "717-569-5075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "001471947",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "3741100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHASSURANCE PROVIDER",
            "identifier": "264884",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.