Individual provider Active NPI

Jasia Lachcik, D.C.

  • Chiropractor
  • Fairless Hills, PA
National Provider Identifier
1790723781
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6071 Issued in GA
Practice address
333 N Oxford Valley Rd
Ste. 402
Fairless Hills, PA 19030-2624
Phone
(215) 943-2584
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6071 GA Primary

Addresses

Primary practice location

333 N Oxford Valley Rd
Ste. 402
Fairless Hills, PA 19030-2624

Mailing address

333 N Oxford Valley Rd
Ste. 402
Fairless Hills, PA 19030-2624
Phone (215) 943-2584

Other names 1

  • Jasia Lachcik-Costa Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150128001713 PA Practitioner - Chiropractic 7810958386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gorman Optimal Health Solutions, IncGroup PAC ID 8022063973, 2 clinicians

Practice addresses (Care Compare)

636 Lincoln Hwy
Suite 10
Fairless Hills, PA 19030-1416
Phone (215) 943-2584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6071GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
S. I. T. E. Healthcare, Inc Chiropractor Past Accepting new patients
Unique Spinal Care Inc Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1790723781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD",
            "address_2": "STE. 402",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302624",
            "telephone_number": "215-943-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD",
            "address_2": "STE. 402",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302624",
            "telephone_number": "215-943-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHCIK",
        "first_name": "JASIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASIA",
            "last_name": "LACHCIK-COSTA",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairless Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.