Organization Active NPI

Iadeluca Chiropractic Center Meadville PC

  • Chiropractor
  • Meadville, PA
National Provider Identifier
1730701962
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IADELUCA CHIROPRACTIC CENTER MEADVILLE PC
Practice address
11581 Pennsylvania Ave # 98
Meadville, PA 16335-6247
Phone
(814) 336-3434
NPI assigned
May 11, 2020
Organization subpart
Yes
Parent organization
IADELUCA CHIROPRACTIC CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Dr. David B Iadeluca, DCNPI 1497862700
Title
Owner
Phone
(814) 459-2580

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 Primary

Addresses

Primary practice location

11581 Pennsylvania Ave # 98
Meadville, PA 16335-6247

Mailing address

2921 W 26TH St
Erie, PA 16506-2501
Phone (814) 459-2580

Other identifiers 1

IdentifierTypeStateIssuer
1699989921OtherPANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Meadville Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
Iadeluca Chiropractic Center Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1730701962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062501",
            "telephone_number": "814-459-2580",
            "fax_number": "814-459-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11581 PENNSYLVANIA AVE # 98",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163356247",
            "telephone_number": "814-336-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IADELUCA CHIROPRACTIC CENTER MEADVILLE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IADELUCA CHIROPRACTIC CENTER INC",
        "enumeration_date": "2020-05-11",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "IADELUCA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-459-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699989921",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Meadville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Meadville",
            "address_1": "11581 Pennsylvania Ave # 98",
            "city": "Meadville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163356247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.