Organization Active NPI

Maddas Chiropractic & Rehab Inc.

  • Chiropractor
  • McClellandtown, PA
National Provider Identifier
1689035115
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010549 Issued in PA
Legal business name
MADDAS CHIROPRACTIC & REHAB INC.
Practice address
870 McClellandtown Rd
MC Clellandtown, PA 15458-1116
Phone
(724) 430-4924
Fax
(724) 430-4925
NPI assigned
Mar 10, 2016
Last updated
Mar 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Dr. Aaron Maddas, D.C.NPI 1871865022
Title
Physician
Phone
(724) 430-4924

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC010549 PA Primary

Addresses

Primary practice location

870 McClellandtown Rd
MC Clellandtown, PA 15458-1116

Mailing address

870 McClellandtown Rd
MC Clellandtown, PA 15458-1116
Phone (724) 430-4924

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160901001778 PA Part B Supplier - Clinic/Group Practice 8022304971 Receives reassigned benefits from 1 practitioner
Practice locations: MC Clellandtown, PA

National Provider Directory

National Provider Directory

Locations

870 McClellandtown Rd
Mc Clellandtown, PA 15458
Phone (724) 430-4924

870 McClellandtown Rd
Ste 7
McClellandtwn, PA 15458
Phone (412) 564-3210

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": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1689035115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MCCLELLANDTOWN RD",
            "city": "MC CLELLANDTOWN",
            "state": "PA",
            "postal_code": "154581116",
            "telephone_number": "724-430-4924",
            "fax_number": "724-430-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MCCLELLANDTOWN RD",
            "city": "MC CLELLANDTOWN",
            "state": "PA",
            "postal_code": "154581116",
            "telephone_number": "724-430-4924",
            "fax_number": "724-430-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDAS CHIROPRACTIC & REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "MADDAS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-430-4924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McClellandtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.