Individual provider Active NPI

Patrick Vincent Suglia, DC, CRT

  • Chiropractor
  • Shoemakersville, PA
National Provider Identifier
1679633978
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007851L Issued in PA
Practice address
1383 Pottsville Pike
Shoemakersville, PA 19555-1721
Phone
(484) 665-2303
Fax
(484) 575-9213
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Religious Nonmedical Practitioner 374K00000X
Pastoral Counselor 101YP1600X
Chiropractor 111N00000X DC007851L PA Primary

Addresses

Primary practice location

1383 Pottsville Pike
Shoemakersville, PA 19555-1721

Mailing address

1383 Pottsville Pike
Shoemakersville, PA 19555-1721
Phone (484) 665-2303

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC007851LPAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1679633978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 POTTSVILLE PIKE",
            "city": "SHOEMAKERSVILLE",
            "state": "PA",
            "postal_code": "195551721",
            "telephone_number": "484-665-2303",
            "fax_number": "484-575-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 POTTSVILLE PIKE",
            "city": "SHOEMAKERSVILLE",
            "state": "PA",
            "postal_code": "195551721",
            "telephone_number": "484-665-2303",
            "fax_number": "484-575-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGLIA",
        "first_name": "PATRICK",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DC, CRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007851L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoemakersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.