Organization Active NPI

Advanced Chiropractic of Dubois

  • Chiropractor
  • Du Bois, PA
National Provider Identifier
1639366388
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008741 Issued in PA
Legal business name
ADVANCED CHIROPRACTIC OF DUBOIS
Practice address
77 Beaver Dr
Du Bois, PA 15801-2425
Phone
(814) 371-7211
Fax
(814) 371-7238
NPI assigned
Sep 26, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Dr. Aaron M. Peters, D.C.NPI 1063517019
Title
Chiropractor/ Co-Owner
Phone
(814) 371-7211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC008741 PA Primary

Addresses

Primary practice location

77 Beaver Dr
Du Bois, PA 15801-2425

Mailing address

77 Beaver Dr
Du Bois, PA 15801-2425
Phone (814) 371-7211

National Provider Directory

National Provider Directory

Locations

77 Beaver Dr
Dubois, PA 15801
Phone (814) 371-7211

Practitioners & affiliated clinicians

Practitioners 2

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": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1639366388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012425",
            "telephone_number": "814-371-7211",
            "fax_number": "814-371-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012425",
            "telephone_number": "814-371-7211",
            "fax_number": "814-371-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC OF DUBOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIROPRACTOR/ CO-OWNER",
        "authorized_official_telephone_number": "814-371-7211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.