Organization Active NPI

Phillips Family Chiropractic, P.C.

  • Chiropractor
  • Butler, PA
National Provider Identifier
1811951338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004388L Issued in PA
Legal business name
PHILLIPS FAMILY CHIROPRACTIC, P.C.
Practice address
120 Hollywood Dr
Suite 202
Butler, PA 16001-7604
Phone
(724) 287-2837
Fax
(724) 287-0496
NPI assigned
Apr 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Craig S Phillips, D.C.NPI 1700852456
Title
Owner / President
Phone
(724) 287-2837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004388L PA Primary

Addresses

Primary practice location

120 Hollywood Dr
Suite 202
Butler, PA 16001-7604

Mailing address

120 Hollywood Dr
Suite 202
Butler, PA 16001-7604
Phone (724) 287-2837

Other identifiers 2

IdentifierTypeStateIssuer
DC1260OtherRR MEDICARE
1626102OtherPAHIGHMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040830000349 PA Part B Supplier - Clinic/Group Practice 0446225817 Receives reassigned benefits from 2 practitioners
Practice locations: Butler, PA

National Provider Directory

National Provider Directory

Locations

120 Hollywood Dr
Butler, PA 16001
Phone (724) 287-2837

120 Hollywood Dr
Ste 202
Butler, PA 16001
Phone (724) 287-2837

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811951338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOLLYWOOD DR",
            "address_2": "SUITE 202",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160017604",
            "telephone_number": "724-287-2837",
            "fax_number": "724-287-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOLLYWOOD DR",
            "address_2": "SUITE 202",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160017604",
            "telephone_number": "724-287-2837",
            "fax_number": "724-287-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "724-287-2837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004388L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC1260",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1626102",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.