Organization Active NPI

Nebiker Chiropractic Center PC

  • Chiropractor
  • Mifflinburg, PA
National Provider Identifier
1841420239
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003963L Issued in PA
Legal business name
NEBIKER CHIROPRACTIC CENTER PC
Practice address
303 E Chestnut St
Mifflinburg, PA 17844-9678
Phone
(570) 966-3600
Fax
(570) 966-3600
NPI assigned
Jul 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Dr. Mark William Nebiker, D.C.
Title
President
Phone
(570) 966-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 003963L PA Primary

Addresses

Primary practice location

303 E Chestnut St
Mifflinburg, PA 17844-9678

Mailing address

303 E Chestnut St
Mifflinburg, PA 17844-9678
Phone (570) 966-3600

Other identifiers 2

IdentifierTypeStateIssuer
NE574175OtherPABLUE SHIELD
0011883960002MedicaidPA

National Provider Directory

National Provider Directory

Locations

303 E Chestnut St
Mifflinburg, PA 17844
Phone (570) 799-3600

Practitioners & affiliated clinicians

Practitioners 1

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": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1841420239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E CHESTNUT ST",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178449678",
            "telephone_number": "570-966-3600",
            "fax_number": "570-966-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E CHESTNUT ST",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178449678",
            "telephone_number": "570-966-3600",
            "fax_number": "570-966-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBIKER CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "NEBIKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-966-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "003963L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "NE574175",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011883960002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mifflinburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.