NPIMap

Organization Active NPI

8TH St Family Chiropractic Center

  • Chiropractor
  • Wyoming, PA
National Provider Identifier
1609063221
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004703L Issued in PA
Legal business name
8TH ST FAMILY CHIROPRACTIC CENTER
Practice address
131 W 8TH St
Wyoming, PA 18644-1607
Phone
(570) 693-9393
Fax
(570) 693-6178
NPI assigned
Sep 27, 2007
Last updated
Dec 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Cynthia M Kennelly, DCNPI 1356438873
Title
Owner
Phone
(570) 693-9393

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC004703L PA Primary

Addresses

Primary practice location

131 W 8TH St
Wyoming, PA 18644-1607

Mailing address

131 W 8TH St
Wyoming, PA 18644-1607
Phone (570) 693-9393

Other identifiers 3

IdentifierTypeStateIssuer
691197OtherPABLUE SHIELD
0014323050001MedicaidPA
805042OtherPAFIRST PRIORITY HEALTH

Other names 1

  • CYNTHIA M KENNELLY Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1609063221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W 8TH ST",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441607",
            "telephone_number": "570-693-9393",
            "fax_number": "570-693-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W 8TH ST",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441607",
            "telephone_number": "570-693-9393",
            "fax_number": "570-693-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "8TH ST FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "KENNELLY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-693-9393",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004703L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "691197",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014323050001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "805042",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYNTHIA M KENNELLY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wyoming, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.