Organization Active NPI

Ewer Specific Chiropractic, P.C.

  • Chiropractor
  • Greensburg, PA
National Provider Identifier
1790711307
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007435L Issued in PA
Legal business name
EWER SPECIFIC CHIROPRACTIC, P.C.
Practice address
298 Old Route 30
Greensburg, PA 15601-6992
Phone
(724) 836-5520
Fax
(724) 836-5565
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Jonathan Edward Ewer, D.C.NPI 1144299942
Title
President
Phone
(724) 836-5520

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 DC007435L PA Primary

Addresses

Primary practice location

298 Old Route 30
Greensburg, PA 15601-6992

Mailing address

298 Old Route 30
Greensburg, PA 15601-6992
Phone (724) 836-5520

Other identifiers 1

IdentifierTypeStateIssuer
1326549OtherPABC/BS

Other names 1

  • Ewer Specific Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071009000679 PA Part B Supplier - Clinic/Group Practice 8022103811 Receives reassigned benefits from 2 practitioners
Practice locations: Greensburg, PA

National Provider Directory

National Provider Directory

Locations

143 Hartman Rd
Ste 9
Greensburg, PA 15601
Phone (724) 836-5520

298 Old Route 30
Greensburg, PA 15601
Phone (724) 834-0389

Practitioners & affiliated clinicians

Practitioners 3

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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1790711307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 OLD ROUTE 30",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016992",
            "telephone_number": "724-836-5520",
            "fax_number": "724-836-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 OLD ROUTE 30",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016992",
            "telephone_number": "724-836-5520",
            "fax_number": "724-836-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWER SPECIFIC CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "EWER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-836-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007435L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1326549",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ewer Specific Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.