Individual provider Active NPI

Eric K Badstibner, DC

  • Chiropractor
  • White Oak, PA
National Provider Identifier
1730167412
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009163 Issued in PA
Practice address
3045 Jacks Run Rd
White Oak, PA 15131-2523
Phone
(412) 678-9123
Fax
(412) 678-9127
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009163 PA Primary

Addresses

Primary practice location

3045 Jacks Run Rd
White Oak, PA 15131-2523

Mailing address

3045 Jacks Run Rd
White Oak, PA 15131-2523
Phone (412) 678-9123

Other identifiers 2

IdentifierTypeStateIssuer
101125290001MedicaidPA
410512OtherPAUPMC PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331000948 PA Practitioner - Chiropractic 6103873203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consales Chiropractic Health Center IIGroup PAC ID 1557309218, 2 clinicians

Practice addresses (Care Compare)

3045 Jacks Run Rd
White Oak, PA 15131-2523
Phone (412) 678-9123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009163PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Consales Chiropractic Health Center II Chiropractor CurrentSince Jan 8, 2004 Accepting new patients

Locations

3045 Jacks Run Rd
White Oak, PA 15131
Phone (412) 678-9123

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730167412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 JACKS RUN RD",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312523",
            "telephone_number": "412-678-9123",
            "fax_number": "412-678-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 JACKS RUN RD",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312523",
            "telephone_number": "412-678-9123",
            "fax_number": "412-678-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADSTIBNER",
        "first_name": "ERIC",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101125290001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC PROVIDER",
            "identifier": "410512",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.