Organization Active NPI

Ambridge Chiro LLC

  • Chiropractor
  • Ambridge, PA
National Provider Identifier
1578317319
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AMBRIDGE CHIRO LLC
Practice address
1405 Merchant St
Ambridge, PA 15003-2257
Phone
(724) 266-2155
NPI assigned
Apr 17, 2024
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Dr. Mate Tarr, DCNPI 1710458781
Title
Sole Member
Phone
(724) 513-5807

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 NU Primary

Addresses

Primary practice location

1405 Merchant St
Ambridge, PA 15003-2257

Mailing address

1405 Merchant St
Ambridge, PA 15003-2257
Phone (724) 266-2155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240501003556 PA Part B Supplier - Clinic/Group Practice 5092155424 Receives reassigned benefits from 2 practitioners
Practice locations: Ambridge, PA

National Provider Directory

National Provider Directory

Locations

1405 Merchant St
Ambridge, PA 15003
Phone (724) 266-2155

Practitioners & affiliated clinicians

Practitioners 3

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": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1578317319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MERCHANT ST",
            "city": "AMBRIDGE",
            "state": "PA",
            "postal_code": "150032257",
            "telephone_number": "724-266-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MERCHANT ST",
            "city": "AMBRIDGE",
            "state": "PA",
            "postal_code": "150032257",
            "telephone_number": "724-266-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBRIDGE CHIRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "TARR",
        "authorized_official_first_name": "MATE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "724-513-5807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambridge, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.