Individual provider Active NPI

Emily Rose Koval-Branstetter, DC

  • Chiropractor
  • Lancaster, PA
National Provider Identifier
1790172914
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010969 Issued in PA
Practice address
3141 Columbia Ave
Lancaster, PA 17603-4012
Phone
(717) 394-6558
Fax
(717) 394-6813
NPI assigned
Apr 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010969 PA Primary

Addresses

Primary practice location

3141 Columbia Ave
Lancaster, PA 17603-4012

Mailing address

13 Lauren LN
Ephrata, PA 17522-2574
Phone (717) 625-0099

Other practice location 1

101 N Broad St Ste 2E
Lititz, PA 17543-1054
Phone (717) 625-0099

Other practice location 2

25 Stonecreek Ct
Ephrata, PA 17522-3114
Phone (570) 466-2953

Other names 1

  • Emily Rose Koval Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916000230 PA Practitioner - Chiropractic 1951618420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long'S Chiropractic Health Services, PCGroup PAC ID 9133215916, 2 clinicians

Practice addresses (Care Compare)

3141 Columbia Ave
Lancaster, PA 17603-4012
Phone (717) 394-6558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010969PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Long'S Chiropractic Health Services, PC Chiropractor CurrentSince Jan 1, 2019 Accepting new patients

Locations

3141 Columbia Ave
Lancaster, PA 17603
Phone (570) 466-2953

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.

NPI Registry JSON

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1790172914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LAUREN LN",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222574",
            "telephone_number": "717-625-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 COLUMBIA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034012",
            "telephone_number": "717-394-6558",
            "fax_number": "717-394-6813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Broad St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175431054",
            "country_code": "US",
            "telephone_number": "717-625-0099",
            "fax_number": "717-625-2861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Stonecreek Ct",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175223114",
            "country_code": "US",
            "telephone_number": "570-466-2953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVAL-BRANSTETTER",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-26",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "KOVAL",
            "middle_name": "ROSE",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.