Organization Active NPI

Daniel a Dziak PC

Doing business as Banksville Chiropractic

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1689842635
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007094-L Issued in PA
Legal business name
DANIEL A DZIAK PC
Doing business as
Banksville Chiropractic
Practice address
3102 Banksville Rd
Pittsburgh, PA 15216-2721
Phone
(412) 344-5500
Fax
(412) 344-5500
NPI assigned
Feb 12, 2008
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dr. Daniel Andrew Dziak, D.C.NPI 1568678183
Title
President
Phone
(412) 344-5500

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 DC007094-L PA Primary

Addresses

Primary practice location

3102 Banksville Rd
Pittsburgh, PA 15216-2721

Mailing address

3102 Banksville Rd
Pittsburgh, PA 15216-2721
Phone (412) 344-5500

Other identifiers 3

IdentifierTypeStateIssuer
001350834OtherPAKEYSTONE
012566OtherPAMEDICARE
0018813660001MedicaidPA

Other names 1

  • Banksville Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150309001576 PA Part B Supplier - Clinic/Group Practice 1355667452 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

3102 Banksville Rd
Pittsburgh, PA 15216
Phone (412) 344-5500

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": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1689842635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 BANKSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162721",
            "telephone_number": "412-344-5500",
            "fax_number": "412-344-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 BANKSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162721",
            "telephone_number": "412-344-5500",
            "fax_number": "412-344-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A DZIAK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "DZIAK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-344-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007094-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "001350834",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "012566",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018813660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banksville Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.