NPIMap

Organization Active NPI

Ronald J Gretz DC PC

  • Chiropractor
  • Canonsburg, PA
National Provider Identifier
1629083415
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6128-L Issued in PA
Legal business name
RONALD J GRETZ DC PC
Practice address
370 Southpointe Blvd
Suite 100
Canonsburg, PA 15317-8572
Phone
(724) 942-4444
Fax
(724) 942-1533
NPI assigned
Jul 30, 2006
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. Laurel K Gretz, DC
Title
President
Phone
(724) 942-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6128-L PA Primary

Addresses

Primary practice location

370 Southpointe Blvd
Suite 100
Canonsburg, PA 15317-8572

Mailing address

370 Southpointe Blvd
Suite 100
Canonsburg, PA 15317-8572
Phone (724) 942-4444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1629083415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SOUTHPOINTE BLVD",
            "address_2": "SUITE 100",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178572",
            "telephone_number": "724-942-4444",
            "fax_number": "724-942-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 SOUTHPOINTE BLVD",
            "address_2": "SUITE 100",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178572",
            "telephone_number": "724-942-4444",
            "fax_number": "724-942-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J GRETZ DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "GRETZ",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-942-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "6128-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.