Organization Active NPI

Robert J Graham Chiropractic PC

  • Chiropractor
  • Pleasant Hills, PA
National Provider Identifier
1679784946
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-003244-L Issued in PA
Legal business name
ROBERT J GRAHAM CHIROPRACTIC PC
Practice address
545 E Bruceton Rd
Pleasant Hills, PA 15236-4593
Phone
(412) 655-8525
Fax
(412) 655-8527
NPI assigned
May 25, 2007
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Robert J Graham, D.C.
Title
Owner
Phone
(412) 655-8525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-003244-L PA Primary

Addresses

Primary practice location

545 E Bruceton Rd
Pleasant Hills, PA 15236-4593

Mailing address

545 E Bruceton Rd
Pleasant Hills, PA 15236-4593
Phone (412) 655-8525

Other identifiers 2

IdentifierTypeStateIssuer
001339634OtherPAMEDICARE CORPORATE NUMBER
93540OtherPAHEALTH AMERICA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000146 PA Part B Supplier - Clinic/Group Practice 8820257066 Receives reassigned benefits from 2 practitioners
Practice locations: Pleasant Hills, PA

National Provider Directory

National Provider Directory

Locations

545 E Bruceton Rd
Pleasant Hls, PA 15236
Phone (412) 532-0144

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1679784946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E BRUCETON RD",
            "city": "PLEASANT HILLS",
            "state": "PA",
            "postal_code": "152364593",
            "telephone_number": "412-655-8525",
            "fax_number": "412-655-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E BRUCETON RD",
            "city": "PLEASANT HILLS",
            "state": "PA",
            "postal_code": "152364593",
            "telephone_number": "412-655-8525",
            "fax_number": "412-655-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J GRAHAM CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-655-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-003244-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CORPORATE NUMBER",
            "identifier": "001339634",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "93540",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.