Individual provider Active NPI

Jill C Slutak, DC

  • Chiropractor
  • Harrisburg, PA
National Provider Identifier
1649431123
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010028 Issued in PA
Practice address
1000 Briarsdale Rd
Ste C
Harrisburg, PA 17109-5900
Phone
(610) 495-0101
Fax
(610) 495-0638
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010028 PA Primary

Addresses

Primary practice location

1000 Briarsdale Rd
Ste C
Harrisburg, PA 17109-5900

Mailing address

1000 Briarsdale Rd
Ste C
Harrisburg, PA 17109-5900
Phone (717) 558-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180220000571 PA Practitioner - Chiropractic 7416133749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Briarsdale Rd
Suite B
Harrisburg, PA 17109-5900
Phone (717) 558-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Slutak Chiropractic LLC Chiropractor CurrentSince Jan 3, 2018 Accepting new patients

Locations

1000 Briarsdale Rd
Ste C
Harrisburg, PA 17109
Phone (610) 495-0101

1000 Briarsdale Rd
Ste B
Harrisburg, PA 17109
Phone (717) 558-3500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1649431123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRIARSDALE RD",
            "address_2": "STE C",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095900",
            "telephone_number": "717-558-3500",
            "fax_number": "717-558-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRIARSDALE RD",
            "address_2": "STE C",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095900",
            "telephone_number": "610-495-0101",
            "fax_number": "610-495-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUTAK",
        "first_name": "JILL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.