Organization Active NPI

Middleton Chiropractic, Inc.

  • Chiropractor
  • Titusville, PA
National Provider Identifier
1821148362
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007629L Issued in PA
Legal business name
MIDDLETON CHIROPRACTIC, INC.
Practice address
128 W Central Ave
Titusville, PA 16354-1726
Phone
(814) 827-9970
Fax
(814) 827-9971
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Mrs. Rebecca Ann Middleton
Title
Office Manager
Phone
(814) 827-9970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC007629L PA Primary

Addresses

Primary practice location

128 W Central Ave
Titusville, PA 16354-1726

Mailing address

128 W Central Ave
Titusville, PA 16354-1726
Phone (814) 827-9970

Other identifiers 9

IdentifierTypeStateIssuer
P00165689OtherPARAIL ROAD MEDICARE
000861662OtherPABC BS MEDICARE
037618Q7VOtherPAMEDICARE ORIGINAL GROUP NUMBER BEFORE NPI
1036231OtherPAAMERICAN SPECIALTY HEALTH
0018122420003MedicaidPA
V0F118OtherPAUPMC
411278OtherPAHEALTH ASSURANCE &AMERICA
001346928OtherPABC BS #
0018122420002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070419000524 PA Part B Supplier - Clinic/Group Practice 3173628153 Receives reassigned benefits from 1 practitioner
Practice locations: Titusville, PA

National Provider Directory

National Provider Directory

Locations

128 W Central Ave
Titusville, PA 16354
Phone (814) 827-9970

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1821148362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W CENTRAL AVE",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541726",
            "telephone_number": "814-827-9970",
            "fax_number": "814-827-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W CENTRAL AVE",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541726",
            "telephone_number": "814-827-9970",
            "fax_number": "814-827-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-827-9970",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007629L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00165689",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS MEDICARE",
            "identifier": "000861662",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ORIGINAL GROUP NUMBER BEFORE NPI",
            "identifier": "037618Q7V",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1036231",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018122420003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "V0F118",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE &AMERICA",
            "identifier": "411278",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS #",
            "identifier": "001346928",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018122420002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.