Organization Active NPI

Stillwagon Chiropractic

  • Chiropractor
  • Monongahela, PA
National Provider Identifier
1700062338
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003439L Issued in PA
Legal business name
STILLWAGON CHIROPRACTIC
Practice address
767 Dry Run Rd
Monongahela, PA 15063-1226
Phone
(724) 258-6506
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Ward Stillwagon, D.C.NPI 1124028105
Title
Doctor of Chiropractic
Phone
(724) 258-6506

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 DC003439L PA Primary

Addresses

Primary practice location

767 Dry Run Rd
Monongahela, PA 15063-1226

Mailing address

767 Dry Run Rd
Monongahela, PA 15063-1226
Phone (724) 258-6506

National Provider Directory

National Provider Directory

Locations

767 Dry Run Rd
Monongahela, PA 15063
Phone (724) 258-6506

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": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1700062338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 DRY RUN RD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631226",
            "telephone_number": "724-258-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 DRY RUN RD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631226",
            "telephone_number": "724-258-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWAGON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "STILLWAGON",
        "authorized_official_first_name": "WARD",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "724-258-6506",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003439L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.