Jeremy Wilkins Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JEREMY WILKINS CHIROPRACTIC CLINIC LLC

Practice address

605 North Church St.
Mt. Pleasant, PA 15666-1000

Phone

(724) 542-4252

Fax

(724) 542-4254

NPI assigned

Aug 12, 2008

Last updated

Dec 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy C Wilkins, DCNPI 1760513279

Title

Owner

Phone

(724) 542-4252

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Wilkins Chiropractic Clinic Former legal business name

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, and the practitioner matching its NPPES authorized official.

• Jeremy C Wilkins, DC

  • Chiropractor
  • Mt Pleasant, PA
  • NPI 1760513279
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1568618361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 NORTH CHURCH ST.",
            "city": "MT. PLEASANT",
            "state": "PA",
            "postal_code": "156661000",
            "telephone_number": "724-542-4252",
            "fax_number": "724-542-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 NORTH CHURCH ST.",
            "city": "MT. PLEASANT",
            "state": "PA",
            "postal_code": "156661000",
            "telephone_number": "724-542-4252",
            "fax_number": "724-542-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY WILKINS CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-542-4252",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "DC009166",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030121420001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkins Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Wilkins Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in Mt Pleasant, PA
• Providers in Mt Pleasant, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.