Individual provider Active NPI

Cullyn Anthony Consales, D.C.

  • Chiropractor
  • White Oak, PA
National Provider Identifier
1801128475
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010384 Issued in PA
Practice address
3045 Jacks Run Rd
White Oak, PA 15131-2523
Phone
(412) 678-9123
Fax
(412) 678-9127
NPI assigned
Feb 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010384 PA Primary

Addresses

Primary practice location

3045 Jacks Run Rd
White Oak, PA 15131-2523

Mailing address

3045 Jacks Run Rd
White Oak, PA 15131-2523
Phone (412) 678-9123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Consales Chiropractic Health Center II Chiropractor Past Accepting new patients

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": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1801128475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 JACKS RUN RD",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312523",
            "telephone_number": "412-678-9123",
            "fax_number": "412-678-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 JACKS RUN RD",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151312523",
            "telephone_number": "412-678-9123",
            "fax_number": "412-678-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSALES",
        "first_name": "CULLYN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-08",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Oak, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.