NPIMap

Organization Active NPI

Irwin Family Chiropractic Clinic Inc.

  • Chiropractor
  • Irwin, PA
National Provider Identifier
1851413470
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 004460 L Issued in PA
Legal business name
IRWIN FAMILY CHIROPRACTIC CLINIC INC.
Practice address
600 Oak St
Irwin, PA 15642-3528
Phone
(724) 863-3226
Fax
(724) 864-9871
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Dr. Matthew James Irwin, D.C.NPI 1306957402
Title
Owner
Phone
(724) 863-3226

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 004460 L PA Primary

Addresses

Primary practice location

600 Oak St
Irwin, PA 15642-3528

Mailing address

600 Oak St
Irwin, PA 15642-3528
Phone (724) 863-3226

Other identifiers 2

IdentifierTypeStateIssuer
000615305OtherPAHIGHMARK BC BS GROUP NUMB
13221OtherPAUPMC GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100816000604 PA Part B Supplier - Clinic/Group Practice 3274667068 Receives reassigned benefits from 1 practitioner
Practice locations: Irwin, PA

National Provider Directory

National Provider Directory

Locations

600 Oak St
Irwin, PA 15642
Phone (724) 863-3226

Practitioners & affiliated clinicians

Practitioners 5

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1851413470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAK ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423528",
            "telephone_number": "724-863-3226",
            "fax_number": "724-864-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OAK ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423528",
            "telephone_number": "724-863-3226",
            "fax_number": "724-864-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN FAMILY CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-863-3226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 004460 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS GROUP NUMB",
            "identifier": "000615305",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC GROUP NUMBER",
            "identifier": "13221",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.