Active NPI
Eric K Badstibner, DC
- Chiropractor
- White Oak, PA
National Provider Identifier
1730167412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009163
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101125290001 | Medicaid | PA | |
| 410512 | Other | PA | UPMC PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 II
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC009163 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consales Chiropractic Health Center II | Chiropractor | Current | 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.
-
- Chiropractor
- White Oak, PA
- NPI 1285786566
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.