Individual provider Active NPI

J. Thomas Soliday Jr., DC

  • Chiropractor
  • Chambersburg, PA
National Provider Identifier
1639176670
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004211L Issued in PA
Practice address
761 5TH Ave
Suite F
Chambersburg, PA 17201-4210
Phone
(717) 263-6101
Fax
(717) 263-6202
NPI assigned
Jul 6, 2005
Last updated
Nov 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004211L PA Primary

Addresses

Primary practice location

761 5TH Ave
Suite F
Chambersburg, PA 17201-4210

Mailing address

761 5TH Ave
Suite F
Chambersburg, PA 17201-4210
Phone (717) 263-6101

Other identifiers 1

IdentifierTypeStateIssuer
0012308290002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC004211LPAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1639176670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 5TH AVE",
            "address_2": "SUITE F",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014210",
            "telephone_number": "717-263-6101",
            "fax_number": "717-263-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 5TH AVE",
            "address_2": "SUITE F",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014210",
            "telephone_number": "717-263-6101",
            "fax_number": "717-263-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIDAY",
        "first_name": "J.",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004211L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012308290002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.