Cedar Crest Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CEDAR CREST CHIROPRACTIC LLC

Practice address

1028 S Cedar Crest Blvd
Allentown, PA 18103-5444

Phone

(610) 776-2005

Fax

(610) 776-1475

NPI assigned

Nov 21, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Allan Joseph Petrilak Jr., DCNPI 1649813916

Title

Owner/Provider

Phone

(610) 776-2005

Specialties & licenses 1

Addresses

Other names 1

• Cedar Crest Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allan Joseph Petrilak Jr., DC

  • Chiropractor
  • Oviedo, FL
  • NPI 1649813916

  PA

  Medicare reassignment NPD Authorized official
• Paul M. Braadt, DC

  • Chiropractor
  • Allentown, PA
  • NPI 1861450934
  NPD

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1619792959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035444",
            "telephone_number": "610-776-2005",
            "fax_number": "610-776-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035444",
            "telephone_number": "610-776-2005",
            "fax_number": "610-776-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREST CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "PETRILAK",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "610-776-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Crest Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catholic Charities of the Diocese of Allentown Inc
• Kenneth J Cavorsi, MD
• Cbello Enterprises LLC
• CDC Allentown, P.C.
• Carissa A Ceballo, LPC, NCC
• Cedar Crest Emergicenter
• Cedar Crest Emergicenter Chiropractic Center
• Cedar Crest Emergicenter Laboratory
• Cedar Crest ENT Associates P.C.
• Cedar Crest Imaging

• Chiropractor in Allentown, PA
• Providers in Allentown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.