Organization Active NPI

Stephen J. Pennell, D.C. PC

Doing business as Pennell Family Chiropractic Center

  • Chiropractor
  • Cranberry Township, PA
National Provider Identifier
1629297866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2083L Issued in PA
Legal business name
STEPHEN J. PENNELL, D.C. PC
Doing business as
Pennell Family Chiropractic Center
Practice address
20421 Route 19
Suite 100
Cranberry Township, PA 16066-7513
Phone
(724) 776-5800
Fax
(724) 776-6682
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen J Pennell, D.C.
Title
Owner
Phone
(724) 776-5800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC2083L PA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC2328L PA

Addresses

Primary practice location

20421 Route 19
Suite 100
Cranberry Township, PA 16066-7513

Mailing address

20421 Route 19
Suite 100
Cranberry Township, PA 16066-7513
Phone (724) 776-5800

Other identifiers 6

IdentifierTypeStateIssuer
433913OtherPAHEALTHAMERICA
185337OtherPAHIGHMARK BCBS
268156OtherPAHIGHMARK BCBS
66681OtherPAUNITEDHEALTHCARE
336848OtherPAHEALTHAMERICA
433929OtherPAHEALTHAMERICA

Other names 1

  • Pennell Family Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

20421 Route 19
Ste 100
Cranberry Twp, PA 16066
Phone (724) 776-5800

20421 Route 19
Ste 115
Cranberry Twp, PA 16066
Phone (724) 683-2540

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629297866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20421 ROUTE 19",
            "address_2": "SUITE 100",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160667513",
            "telephone_number": "724-776-5800",
            "fax_number": "724-776-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20421 ROUTE 19",
            "address_2": "SUITE 100",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160667513",
            "telephone_number": "724-776-5800",
            "fax_number": "724-776-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J. PENNELL, D.C. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENNELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-776-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC2083L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC2328L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "433913",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "185337",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "268156",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "66681",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "336848",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "433929",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennell Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.