Donald I Novak, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010188 Issued in PA

Practice address

1412 Jefferson Road
Jefferson, PA 15344

Phone

(724) 883-3733

NPI assigned

Jan 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pettit Chiropractic Health Center Inc.

  • Chiropractor
  • Jefferson, PA
  • NPI 1699834093
  NPD (past)
• Bridgeport Family Chiropractic

  • Chiropractor
  • Bridgeport, WV
  • NPI 1548350747
  NPD (past)

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1770768632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "JEFFERSON",
            "state": "PA",
            "postal_code": "153440211",
            "telephone_number": "724-883-3733",
            "fax_number": "724-883-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 JEFFERSON ROAD",
            "city": "JEFFERSON",
            "state": "PA",
            "postal_code": "15344",
            "telephone_number": "724-883-3733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 T Steele St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263301068",
            "country_code": "US",
            "telephone_number": "304-842-7678",
            "fax_number": "304-842-5973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "DONALD",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "878",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1770768632",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Donnie Novak LLC
• Jefferson Volunteer Fire Co Ambulance Service
• Jefferson-Morgan School District
• Pettit Chiropractic Health Center Inc.
• L. Randy Pettit, D.C.
• Rachael Simmons, LSW
• Joseph Tokish

• Chiropractor in Jefferson, PA
• Providers in Jefferson, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.