Organization Active NPI

Shoemaker Chiropractic Center, LLC

  • Chiropractor
  • Bethlehem, PA
National Provider Identifier
1649468380
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-002077-L Issued in PA
Legal business name
SHOEMAKER CHIROPRACTIC CENTER, LLC
Practice address
3384 Easton Ave
Bethlehem, PA 18020-3450
Phone
(610) 865-6111
Fax
(610) 865-6111
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Dr. George Joseph Shoemaker, DC
Title
President
Phone
(610) 865-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-002077-L PA Primary

Addresses

Primary practice location

3384 Easton Ave
Bethlehem, PA 18020-3450

Mailing address

3384 Easton Ave
Bethlehem, PA 18020-3450
Phone (610) 865-6111

Other identifiers 9

IdentifierTypeStateIssuer
02596300OtherPACAPITAL BLUE CROSS
P1017719OtherOXFORD HEALTH, INC
143949OtherPAINDEPENDANCE BLUE CROSS
U51529OtherPAAMERIHEALTH ADMINISTRATOR
412038OtherPAHEALTHASSURANCE PA, INC
A43949OtherPAINTERCOUNTY HEALTH PLAN
AS66379540001OtherCIGNA
143949OtherPAHIGHMARK BLUE SHIELD
1030862OtherPAASHN

National Provider Directory

National Provider Directory

Locations

3384 Easton Ave
Bethlehem, PA 18020
Phone (484) 725-4448

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1649468380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180203450",
            "telephone_number": "610-865-6111",
            "fax_number": "610-865-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3384 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180203450",
            "telephone_number": "610-865-6111",
            "fax_number": "610-865-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOEMAKER CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-865-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-002077-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02596300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH, INC",
            "identifier": "P1017719",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANCE BLUE CROSS",
            "identifier": "143949",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "U51529",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHASSURANCE PA, INC",
            "identifier": "412038",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERCOUNTY HEALTH PLAN",
            "identifier": "A43949",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "AS66379540001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "143949",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "1030862",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.