Organization Active NPI

West Allegheny Pain Clinic

  • Chiropractor
  • Imperial, PA
National Provider Identifier
1841355641
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003563L Issued in PA
Legal business name
WEST ALLEGHENY PAIN CLINIC
Practice address
490 Penn Lincoln Dr
Imperial, PA 15126-9781
Phone
(724) 695-0788
Fax
(724) 695-0789
NPI assigned
Dec 22, 2006
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. Jay Douglas Loeb, D.C.NPI 1427018084
Title
Chiropractor
Phone
(724) 695-0788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC003563L PA Primary

Addresses

Primary practice location

490 Penn Lincoln Dr
Imperial, PA 15126-9781

Mailing address

490 Penn Lincoln Dr
Imperial, PA 15126-9781
Phone (724) 695-0788

Other identifiers 1

IdentifierTypeStateIssuer
7286080MedicaidPA

National Provider Directory

National Provider Directory

Locations

490 Penn Lincoln Dr
Imperial, PA 15126
Phone (724) 695-0788

Practitioners & affiliated clinicians

Practitioners 3

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": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841355641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 PENN LINCOLN DR",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151269781",
            "telephone_number": "724-695-0788",
            "fax_number": "724-695-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 PENN LINCOLN DR",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151269781",
            "telephone_number": "724-695-0788",
            "fax_number": "724-695-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ALLEGHENY PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOEB",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "724-695-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003563L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7286080",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.