Associates Chiropractic Clinic & Rehabilitation Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ASSOCIATES CHIROPRACTIC CLINIC & REHABILITATION CENTER, INC.

Practice address

2275 Swallow Hill Rd
Building 2600
Pittsburgh, PA 15220-1656

Phone

(412) 279-4522

Fax

(412) 279-3416

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Gary T. Hieronimus, D.C.

Title

Director

Phone

(412) 279-4522

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194048000000",
    "number": "1679566004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SWALLOW HILL RD",
            "address_2": "BUILDING 2600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201656",
            "telephone_number": "412-279-4522",
            "fax_number": "412-279-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 SWALLOW HILL RD",
            "address_2": "BUILDING 2600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201656",
            "telephone_number": "412-279-4522",
            "fax_number": "412-279-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES CHIROPRACTIC CLINIC & REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2007-11-03",
        "status": "A",
        "authorized_official_last_name": "HIERONIMUS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-279-4522",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS GROUP #",
            "identifier": "1404943",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "032360",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2007; 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.