Organization Active NPI

Village Chiropractic LLC

  • Chiropractor
  • White Oak, PA
National Provider Identifier
1740225325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VILLAGE CHIROPRACTIC LLC
Practice address
2606 Lincoln Way
White Oak, PA 15131-2831
Phone
(412) 751-4991
Fax
(412) 751-1484
NPI assigned
Jun 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Danielle Marra, D.C.
Title
Co Owner
Phone
(412) 751-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2606 Lincoln Way
White Oak, PA 15131-2831

Mailing address

2606 Lincoln Way
White Oak, PA 15131-2831
Phone (412) 751-4991

Other identifiers 1

IdentifierTypeStateIssuer
1377355OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2606 Lincoln Way
White Oak, PA 15131
Phone (412) 751-4991

2606 Lincoln Way
#A
White Oak, PA 15131
Phone (412) 751-4991

Practitioners & affiliated clinicians

Practitioners 2

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740225325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312831",
            "telephone_number": "412-751-4991",
            "fax_number": "412-751-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312831",
            "telephone_number": "412-751-4991",
            "fax_number": "412-751-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARRA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "412-751-4991",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1377355",
            "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 Aug 22, 2020; 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.