Organization Active NPI

Pine Valley Chiropractic Clinic, Inc.

  • Chiropractor
  • Murrysville, PA
National Provider Identifier
1770545402
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006907L Issued in PA
Legal business name
PINE VALLEY CHIROPRACTIC CLINIC, INC.
Practice address
4018 Saltsburg Rd
Murrysville, PA 15668-9774
Phone
(724) 733-2225
Fax
(724) 733-2500
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Dr. Brian R Green, DCNPI 1932153327
Title
President
Phone
(724) 733-2225

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC006907L PA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC007105L PA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC007205L PA

Addresses

Primary practice location

4018 Saltsburg Rd
Murrysville, PA 15668-9774

Mailing address

4018 Saltsburg Rd
Murrysville, PA 15668-9774
Phone (724) 733-2225

Other identifiers 2

IdentifierTypeStateIssuer
362849OtherPABC/BS
100753702MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812001228 PA Part B Supplier - Clinic/Group Practice 2365415965 Receives reassigned benefits from 2 practitioners
Practice locations: Murrysville, PA

National Provider Directory

National Provider Directory

Locations

785 Pine Valley Dr
Pittsburgh, PA 15239
Phone (412) 761-8500

783 Pine Valley Dr
Plum, PA 15239
Phone (412) 761-8500

Practitioners & affiliated clinicians

Practitioners 4

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": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1770545402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 SALTSBURG RD",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156689774",
            "telephone_number": "724-733-2225",
            "fax_number": "724-733-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 SALTSBURG RD",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156689774",
            "telephone_number": "724-733-2225",
            "fax_number": "724-733-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE VALLEY CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-733-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006907L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007105L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007205L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "362849",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100753702",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.