Organization Active NPI

Momentum Chiropractic LLC

  • Chiropractor
  • Grove City, PA
National Provider Identifier
1720318207
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOMENTUM CHIROPRACTIC LLC
Practice address
220 N Broad St
Grove City, PA 16127-1638
Phone
(724) 264-4667
Fax
(724) 264-4668
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Dr. Benna Marguarita Click, D.C.NPI 1548443641
Title
Owner
Phone
(724) 264-4667

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 PA Primary

Addresses

Primary practice location

220 N Broad St
Grove City, PA 16127-1638

Mailing address

220 N Broad St
Grove City, PA 16127-1638
Phone (724) 264-4667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100713000260 PA Part B Supplier - Clinic/Group Practice 8527190453 Receives reassigned benefits from 1 practitioner
Practice locations: Grove City, PA

National Provider Directory

National Provider Directory
Tax ID family
Click Family Chiropractic LLC2 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.

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": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1720318207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N BROAD ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271638",
            "telephone_number": "724-264-4667",
            "fax_number": "724-264-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N BROAD ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271638",
            "telephone_number": "724-264-4667",
            "fax_number": "724-264-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "CLICK",
        "authorized_official_first_name": "BENNA",
        "authorized_official_middle_name": "MARGUARITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-264-4667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.