Individual provider Active NPI

Charles W. Pickup, D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1790781755
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004097L Issued in PA
Practice address
1014 Unity Center Rd
Pittsburgh, PA 15239-1857
Phone
(724) 433-6411
Fax
(412) 704-5797
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 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 DC004097L PA Primary

Addresses

Primary practice location

1014 Unity Center Rd
Pittsburgh, PA 15239-1857

Mailing address

922 Presque Isle Dr
Pittsburgh, PA 15239-2726
Phone (724) 733-8220

Other identifiers 2

IdentifierTypeStateIssuer
PI610355OtherPABC/BS PROVIDER NUMBER PA
98169MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110519000285 PA Practitioner - Chiropractic 5294911665 Reassigns benefits to 1 organization
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC004097LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bompiani Chiropractic Clinic Chiropractor CurrentSince Apr 28, 2019 Accepting new patients

Locations

403 S 3rd St
Youngwood, PA 15697
Phone (724) 925-9220

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1790781755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 PRESQUE ISLE DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152392726",
            "telephone_number": "724-733-8220",
            "fax_number": "724-733-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 UNITY CENTER RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152391857",
            "telephone_number": "724-433-6411",
            "fax_number": "412-704-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKUP",
        "first_name": "CHARLES",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004097L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER PA",
            "identifier": "PI610355",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98169",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.