Organization Active NPI

Elanco Chiropractic & Rehabilitation Center, Inc.

  • Chiropractor
  • Ephrata, PA
National Provider Identifier
1689855397
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-007-057-L Issued in PA
Legal business name
ELANCO CHIROPRACTIC & REHABILITATION CENTER, INC.
Practice address
1907 Division Hwy
Ephrata, PA 17522-8947
Phone
(717) 355-5000
Fax
(717) 354-8587
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Gary J. Greve, DCNPI 1255341574
Title
Chiropractor
Phone
(717) 355-5000

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 DC-007-057-L PA Primary

Addresses

Primary practice location

1907 Division Hwy
Ephrata, PA 17522-8947

Mailing address

1907 Division Hwy
Ephrata, PA 17522-8947
Phone (717) 355-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000060 PA Part B Supplier - Clinic/Group Practice 3779533674 Receives reassigned benefits from 1 practitioner
Practice locations: Ephrata, PA

National Provider Directory

National Provider Directory

Locations

1907 Division Hwy
Ephrata, PA 17522
Phone (717) 355-5000

Practitioners & affiliated clinicians

Practitioners 1

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": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1689855397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 DIVISION HWY",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228947",
            "telephone_number": "717-355-5000",
            "fax_number": "717-354-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 DIVISION HWY",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228947",
            "telephone_number": "717-355-5000",
            "fax_number": "717-354-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELANCO CHIROPRACTIC & REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "GREVE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "717-355-5000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007-057-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.