Organization Active NPI

Miscoe Chiropractic Clinic, P.C.

  • Chiropractor
  • Johnstown, PA
National Provider Identifier
1790718468
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-2890-L Issued in PA
Legal business name
MISCOE CHIROPRACTIC CLINIC, P.C.
Practice address
215 Belmont St
Johnstown, PA 15904-1614
Phone
(814) 266-3314
Fax
(814) 262-0800
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Dr. Frederic J. Miscoe II, D.C.
Title
Pres/Ceo
Phone
(814) 266-3314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-2890-L PA Primary

Addresses

Primary practice location

215 Belmont St
Johnstown, PA 15904-1614

Mailing address

215 Belmont St
Johnstown, PA 15904-1614
Phone (814) 266-3314

Other identifiers 1

IdentifierTypeStateIssuer
0010353320001MedicaidPA

National Provider Directory

National Provider Directory

Locations

215 Belmont St
Johnstown, PA 15904
Phone (814) 266-3314

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1790718468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BELMONT ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041614",
            "telephone_number": "814-266-3314",
            "fax_number": "814-266-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BELMONT ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041614",
            "telephone_number": "814-266-3314",
            "fax_number": "814-262-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISCOE CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "MISCOE",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "814-266-3314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-2890-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010353320001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.