Individual provider Active NPI

Matthew Alan Ankrom, DC

  • Chiropractor
  • Gibsonia, PA
National Provider Identifier
1659644417
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010555 Issued in PA
Practice address
5061 William Flynn Hwy
Gibsonia, PA 15044-8442
Phone
(724) 444-6660
NPI assigned
Feb 9, 2012
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010555 PA Primary

Addresses

Primary practice location

5061 William Flynn Hwy
Gibsonia, PA 15044-8442

Mailing address

634 Stanton Ave
PO Box 360
Mars, PA 16046
Phone (724) 602-6393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120410000022 PA Practitioner - Chiropractic 8527229095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5061 William Flynn Hwy
Gibsonia, PA 15044-8442
Phone (724) 444-6660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Applewood Chiropractic Center Inc. Chiropractor CurrentSince Mar 13, 2012 Accepting new patients
Northern Allegheny Pain Management Center Current Accepting new patients
Wellcare Medical Associates L.L.C. CurrentSince Sep 1, 2019 Accepting new patients

Locations

119 Thorn Apple Dr
Butler, PA 16001
Phone (724) 283-0518

21626 Route 68
Clarion, PA 16214
Phone (814) 226-5441

5061 William Flynn Hwy
Gibsonia, PA 15044
Phone (724) 444-6660

Organizations & group practices 3

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": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1659644417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 STANTON AVE",
            "address_2": "PO BOX 360",
            "city": "MARS",
            "state": "PA",
            "postal_code": "16046",
            "telephone_number": "724-602-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 WILLIAM FLYNN HWY",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448442",
            "telephone_number": "724-444-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKROM",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.