Active NPI
David D Deglau, D.C.
- Chiropractor
- Latrobe, PA
National Provider Identifier
1659333235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-007231-L
- Practice address
- 3660 Route 30
Latrobe, PA 15650-5208 - Phone
- (724) 532-3200
- Fax
- (724) 532-4070
- NPI assigned
- Apr 6, 2006
- Last updated
- Apr 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-007231-L | PA | Primary |
Addresses
Primary practice location
3660 Route 30
Latrobe, PA 15650-5208
Mailing address
3660 Route 30
Latrobe, PA 15650-5208
Phone (724) 532-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC-007231-L | Other | PA | PA DC LICENSE # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-007231-L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deglau Family Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Eab Health LLC | Chiropractor | Past | Accepting new patients |
Locations
3660 State Route 30
Latrobe, PA 15650
Phone (724) 532-3200
Organizations & group practices 2
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.
-
- Chiropractor
- Latrobe, PA
- NPI 1083745970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1659333235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 ROUTE 30",
"city": "LATROBE",
"state": "PA",
"postal_code": "156505208",
"telephone_number": "724-532-3200",
"fax_number": "724-532-4070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 ROUTE 30",
"city": "LATROBE",
"state": "PA",
"postal_code": "156505208",
"telephone_number": "724-532-3200",
"fax_number": "724-532-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGLAU",
"first_name": "DAVID",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-007231-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA DC LICENSE #",
"identifier": "DC-007231-L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Latrobe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.