Organization Active NPI

Charney Chiropractic LLC

Doing business as Advanced Family Chiropractic

  • Chiropractor
  • Mill Hall, PA
National Provider Identifier
1689778011
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009328 Issued in PA
Legal business name
CHARNEY CHIROPRACTIC LLC
Doing business as
Advanced Family Chiropractic
Practice address
3076 Eagle Valley Rd.
Mill Hall, PA 17751-1626
Phone
(570) 726-2000
Fax
(570) 726-8012
NPI assigned
Sep 7, 2006
Last updated
Oct 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Dr. Leah M Charney, D.C.NPI 1942264874
Title
Chiropractor/Owner
Phone
(570) 726-2000

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009076 PA
Chiropractor 111N00000X AJ008899 PA
Chiropractor 111N00000X AJ009137 PA
Chiropractor 111N00000X DC009328 PA Primary

Addresses

Primary practice location

3076 Eagle Valley Rd.
Mill Hall, PA 17751-1626

Mailing address

3076 Eagle Valley Rd.
Mill Hall, PA 17751-1626
Phone (570) 726-2000

Other names 1

  • Advanced Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061207000126 PA Part B Supplier - Clinic/Group Practice 7416956156 Receives reassigned benefits from 1 practitioner
Practice locations: Mill Hall, PA

National Provider Directory

National Provider Directory

Locations

3076 Eagle Valley Rd
Mill Hall, PA 17751
Phone (570) 726-2000

Practitioners & affiliated clinicians

Practitioners 1

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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1689778011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 EAGLE VALLEY RD.",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "177511626",
            "telephone_number": "570-726-2000",
            "fax_number": "570-726-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 EAGLE VALLEY RD.",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "177511626",
            "telephone_number": "570-726-2000",
            "fax_number": "570-726-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARNEY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "CHARNEY",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "570-726-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009076",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ008899",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ009137",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Hall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.