Lebanon Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010295 Issued in PA

Legal business name

LEBANON CHIROPRACTIC CENTER

Doing business as

Lebanon Chiropractic Center

Practice address

2234 Cumberland St
Lebanon, PA 17042-2583

Phone

(717) 273-3741

NPI assigned

Jan 17, 2014

Last updated

Jan 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jared StubblefieldNPI 1316274285

Title

Owner

Phone

(717) 273-3741

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lebanon Chiropractic Center Doing business as

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.

• Jared Stubblefield, D.C.

  • Chiropractor
  • Lancaster, PA
  • NPI 1316274285
  NPD (past) Authorized official
• Richard Kenton Koons, D C

  • Nutrition Chiropractor
  • Lebanon, PA
  • NPI 1043276132
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1700208212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 CUMBERLAND ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170422583",
            "telephone_number": "717-273-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 CUMBERLAND ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170422583",
            "telephone_number": "717-273-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-273-3741"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1316274285",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lebanon Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline Nicole Lawyer, DPT
• Lebanon
• Lebanon Adult Day Care Center LLC
• Lebanon Anesthesia Associates LTD
• Lebanon Cardiology Associates PC
• Lebanon County Area Agency on Aging
• Lebanon County Comissioners
• Lebanon County Commissioners
• Lebanon County Commissioners
• Lebanon County Commissioners

• Chiropractor in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.