Organization Active NPI

Schaffer Chiropractic Center, Inc.

  • Chiropractor
  • Monroeville, PA
National Provider Identifier
1851404826
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-005623-L Issued in PA
Legal business name
SCHAFFER CHIROPRACTIC CENTER, INC.
Practice address
4205 Northern Pike
Monroeville, PA 15146-2713
Phone
(412) 374-8897
Fax
(412) 374-8897
NPI assigned
Aug 16, 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
Mr. Brad Robb Schaffer, D.C.NPI 1912969932
Title
President
Phone
(412) 374-8897

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 DC-005623-L PA Primary

Addresses

Primary practice location

4205 Northern Pike
Monroeville, PA 15146-2713

Mailing address

4205 Northern Pike
Monroeville, PA 15146-2713
Phone (412) 374-8897

Other identifiers 3

IdentifierTypeStateIssuer
90-873-359OtherPAPA STATE ID
01530718OtherPAWELFARE
306382OtherPAUPMC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050413000476 PA Part B Supplier - Clinic/Group Practice 3274570056 Receives reassigned benefits from 1 practitioner
Practice locations: Monroeville, PA

National Provider Directory

National Provider Directory

Locations

4205 Northern Pike
Monroeville, PA 15146
Phone (412) 374-8897

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851404826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 NORTHERN PIKE",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462713",
            "telephone_number": "412-374-8897",
            "fax_number": "412-374-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 NORTHERN PIKE",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462713",
            "telephone_number": "412-374-8897",
            "fax_number": "412-374-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAFFER CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "ROBB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-374-8897",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-005623-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE ID",
            "identifier": "90-873-359",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELFARE",
            "identifier": "01530718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "306382",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, 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.