Individual provider Active NPI

Ronald Stephen Ondrejca, D.C.

  • Chiropractor
  • Whitehall, PA
National Provider Identifier
1639271182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-006972-L Issued in PA
Practice address
3716 Lehigh St
Suite 101
Whitehall, PA 18052-3437
Phone
(610) 437-2040
Fax
(610) 437-2024
NPI assigned
Sep 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 DC-006972-L PA Primary

Addresses

Primary practice location

3716 Lehigh St
Suite 101
Whitehall, PA 18052-3437

Mailing address

2197 Juniper Dr
Coplay, PA 18037-2282
Phone (610) 261-9765

Other identifiers 3

IdentifierTypeStateIssuer
RO1003119OtherPAASHN PARTICIPANT
897847OtherPAHIGHMARK PARTICIPANT
2125843OtherPAAETNA PARTICIPANT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000299 PA Practitioner - Chiropractic 4587603386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3716 Lehigh St
Suite 101
Whitehall, PA 18052-3437
Phone (610) 437-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-006972-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ondrejca Chiropractic Center, PC Chiropractor CurrentSince Nov 20, 2006 Accepting new patients

Locations

3716 Lehigh St
Ste 101
Whitehall, PA 18052
Phone (610) 437-2040

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639271182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2197 JUNIPER DR",
            "city": "COPLAY",
            "state": "PA",
            "postal_code": "180372282",
            "telephone_number": "610-261-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 LEHIGH ST",
            "address_2": "SUITE 101",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523437",
            "telephone_number": "610-437-2040",
            "fax_number": "610-437-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDREJCA",
        "first_name": "RONALD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-006972-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN PARTICIPANT",
            "identifier": "RO1003119",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PARTICIPANT",
            "identifier": "897847",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PARTICIPANT",
            "identifier": "2125843",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.