Organization Active NPI

McKolosky Chiropractic

  • Chiropractor
  • Johnstown, PA
National Provider Identifier
1699895094
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MCKOLOSKY CHIROPRACTIC
Practice address
401 Theatre Dr
Johnstown, PA 15904-2838
Phone
(814) 269-3116
Fax
(814) 266-8471
NPI assigned
Mar 30, 2007
Last updated
Nov 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Dennis G McKolosky, D.C.NPI 1114902335
Title
Chiropractor
Phone
(814) 269-3116

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

401 Theatre Dr
Johnstown, PA 15904-2838

Mailing address

401 Theatre Dr
Johnstown, PA 15904-2838
Phone (814) 269-3116

Other identifiers 2

IdentifierTypeStateIssuer
0014188250002MedicaidPA
0014103350003MedicaidPA

National Provider Directory

National Provider Directory

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1699895094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 THEATRE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042838",
            "telephone_number": "814-269-3116",
            "fax_number": "814-266-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 THEATRE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042838",
            "telephone_number": "814-269-3116",
            "fax_number": "814-266-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKOLOSKY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "MCKOLOSKY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "814-269-3116",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014188250002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014103350003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.