Organization Active NPI

Rothsville Chiropractic

  • Chiropractor
  • Lititz, PA
National Provider Identifier
1669547865
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001688L Issued in PA
Legal business name
ROTHSVILLE CHIROPRACTIC
Doing business as
Rothsville Chiropractic
Practice address
1749 Old Rothsville Rd
Lititz, PA 17543-9036
Phone
(717) 626-0466
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. William G Mudryk, D.O.
Title
Medical Director
Phone
(717) 626-0466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC001688L PA Primary

Addresses

Primary practice location

1749 Old Rothsville Rd
Lititz, PA 17543-9036

Mailing address

1749 Old Rothsville Rd
Lititz, PA 17543-9036
Phone (717) 626-0466

Other names 1

  • Rothsville Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1749 Old Rothsville Rd
Lititz, PA 17543
Phone (717) 626-0446

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1669547865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 OLD ROTHSVILLE RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439036",
            "telephone_number": "717-626-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 OLD ROTHSVILLE RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439036",
            "telephone_number": "717-626-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTHSVILLE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "MUDRYK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "717-626-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001688L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rothsville Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.