Organization Active NPI

Casteel Chiropractic of State College, P.C.

  • Chiropractor
  • State College, PA
National Provider Identifier
1720269095
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007932L Issued in PA
Legal business name
CASTEEL CHIROPRACTIC OF STATE COLLEGE, P.C.
Practice address
129 Moses Thompson LN
State College, PA 16801-6840
Phone
(814) 235-9400
Fax
(814) 235-9444
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Joel M Casteel, D.C.NPI 1003902230
Title
President/Owner
Phone
(814) 235-9400

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 DC007932L PA Primary

Addresses

Primary practice location

129 Moses Thompson LN
State College, PA 16801-6840

Mailing address

129 Moses Thompson LN
State College, PA 16801-6840
Phone (814) 235-9400

Other identifiers 1

IdentifierTypeStateIssuer
101867969 0001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090512000035 PA Part B Supplier - Clinic/Group Practice 4183772650 Receives reassigned benefits from 1 practitioner
Practice locations: State College, PA

National Provider Directory

National Provider Directory
Tax ID family
Casteel Chiropractic of State College PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

129 Moses Thompson Ln
State College, PA 16801
Phone (814) 235-9400

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1720269095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MOSES THOMPSON LN",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016840",
            "telephone_number": "814-235-9400",
            "fax_number": "814-235-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MOSES THOMPSON LN",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016840",
            "telephone_number": "814-235-9400",
            "fax_number": "814-235-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTEEL CHIROPRACTIC OF STATE COLLEGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "CASTEEL",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "814-235-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007932L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101867969 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.