Organization Active NPI

Spring Road Wellness & Chiropractic Center, PC

  • Chiropractor
  • Carlisle, PA
National Provider Identifier
1679748982
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009126 Issued in PA
Legal business name
SPRING ROAD WELLNESS & CHIROPRACTIC CENTER, PC
Practice address
1921 Spring Rd
Carlisle, PA 17013-1157
Phone
(717) 241-9355
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Dr. Leonard J Kielbasa, D.C.NPI 1790752541
Title
Owner
Phone
(717) 241-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC009126 PA Primary

Addresses

Primary practice location

1921 Spring Rd
Carlisle, PA 17013-1157

Mailing address

1921 Spring Rd
Carlisle, PA 17013-1157
Phone (717) 241-9355

Other identifiers 1

IdentifierTypeStateIssuer
2030375OtherHIGHMARK BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090102000380 PA Part B Supplier - Clinic/Group Practice 3375605116 Receives reassigned benefits from 2 practitioners
Practice locations: Carlisle, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1679748982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 SPRING RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170131157",
            "telephone_number": "717-241-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 SPRING RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170131157",
            "telephone_number": "717-241-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ROAD WELLNESS & CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "KIELBASA",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-241-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2030375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.