Procare Chiropractic Services, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010442 Issued in PA

Legal business name

PROCARE CHIROPRACTIC SERVICES, LLC

Practice address

5250 Library Rd
Bethel Park, PA 15102-2715

Phone

(412) 854-6900

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ryan M Michalovicz, DCNPI 1477827202

Title

President

Phone

(412) 854-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• ProCare Chiropractic Center Doing business as
• ProCare Chiropractic Services, LLC 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.

• Ryan Matthew Michalovicz, D.C.

  • Chiropractor
  • Pittsburgh, PA
  • NPI 1477827202
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1619487790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 LIBRARY RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022715",
            "telephone_number": "412-854-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 LIBRARY RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022715",
            "telephone_number": "412-854-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE CHIROPRACTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "MICHALOVICZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-854-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102719817",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProCare Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProCare Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProCare Chiropractic Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.