Organization Active NPI

Capital Chiropractic Center, PC

  • Chiropractor
  • Harrisburg, PA
National Provider Identifier
1841463940
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007090L Issued in PA
Legal business name
CAPITAL CHIROPRACTIC CENTER, PC
Practice address
4079 Derry St
Harrisburg, PA 17111-2347
Phone
(717) 558-9292
Fax
(717) 558-2006
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Steven M Remillard, DC
Title
Owner
Phone
(717) 558-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC007090L PA Primary

Addresses

Primary practice location

4079 Derry St
Harrisburg, PA 17111-2347

Mailing address

4079 Derry St
Harrisburg, PA 17111-2347
Phone (717) 558-9292

Other identifiers 1

IdentifierTypeStateIssuer
RE000955OtherPAMEDICARE

National Provider Directory

National Provider Directory

Locations

4079 Derry St
Harrisburg, PA 17111
Phone (717) 558-9292

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1841463940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4079 DERRY ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112347",
            "telephone_number": "717-558-9292",
            "fax_number": "717-558-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4079 DERRY ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112347",
            "telephone_number": "717-558-9292",
            "fax_number": "717-558-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "REMILLARD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-558-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007090L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "RE000955",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.