Individual provider Active NPI

Richard J Prough Jr., DC

  • Chiropractor
  • White Oak, PA
National Provider Identifier
1639152648
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC045540 Issued in PA
Practice address
3045 Jacks Run Rd
White Oak, PA 15131-2523
Phone
(412) 678-9123
Fax
(412) 678-9127
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC045540 PA Primary

Addresses

Primary practice location

3045 Jacks Run Rd
White Oak, PA 15131-2523

Mailing address

1511 Rosewood Cir
N Huntingdon, PA 15642-2293
Phone (412) 678-9123

Other identifiers 1

IdentifierTypeStateIssuer
01713600MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027000100 PA Practitioner - Chiropractic 8325009012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3402 Washington Rd
Suite 201
MC Murray, PA 15317-2964
Phone (724) 731-0210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC045540PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard J Prough Jr. PC Chiropractor CurrentSince Aug 2, 2004 Accepting new patients
Consales Chiropractic Health Center II Chiropractor Past Accepting new patients

Locations

3402 Washington Rd
Ste 201
McMurray, PA 15317
Phone (724) 731-0210

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639152648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 ROSEWOOD CIR",
            "city": "N HUNTINGDON",
            "state": "PA",
            "postal_code": "156422293",
            "telephone_number": "412-678-9123",
            "fax_number": "412-678-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 JACKS RUN RD",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312523",
            "telephone_number": "412-678-9123",
            "fax_number": "412-678-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUGH",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC045540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01713600",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.