Paul J Herbener, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC006129L Issued in PA

Practice address

112 River St
Tunkhannock, PA 18657-1799

Phone

(570) 836-5305

Fax

(570) 836-6564

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiropractic & Rehab Associates, P.C.

  • Rehabilitation Chiropractor
  • Tunkhannock, PA
  • NPI 1306050950
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801830989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELIZABETH DR",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186575511",
            "telephone_number": "570-836-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 RIVER ST",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186571799",
            "telephone_number": "570-836-5305",
            "fax_number": "570-836-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBENER",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006129L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015583990002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5404709",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "814278",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guthrie Clinc, LTD.
• Guthrie Health
• Guthrie Medical Group, P.C,
• Davis Charles Haire Sr., O.D.
• Sherry A Harvey, CRNA
• Gerard J Hildebrand, OD
• Emily Hotaling
• Donald F Hull III, MD
• Ian a Kellman MD LLC
• Balsam Itani, DPT

• Chiropractor in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.