Individual provider Active NPI

Justin Dale Huinker, DC

  • Chiropractor
  • Canonsburg, PA
National Provider Identifier
1851804306
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011308 Issued in PA
Practice address
3540 Washington Rd
Canonsburg, PA 15317-2957
Phone
(714) 941-0707
NPI assigned
Nov 7, 2017
Last updated
Nov 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011308 PA Primary

Addresses

Primary practice location

3540 Washington Rd
Canonsburg, PA 15317-2957

Mailing address

3540 Washington Rd
Canonsburg, PA 15317-2957
Phone (714) 941-0707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230828002002 WI Practitioner - Chiropractic 8426317280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burkhalter Chiropractic SCGroup PAC ID 2769677632, 4 clinicians

Practice addresses (Care Compare)

920 8TH Ave
Baraboo, WI 53913-1247
Phone (608) 356-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011308PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Medical Centers LLC Chiropractor CurrentSince Dec 4, 2017 Accepting new patients
Burkhalter Chiropractic SC Chiropractor CurrentSince Aug 14, 2023 Accepting new patients

Locations

3540 Washington Rd
McMurray, PA 15317
Phone (724) 941-0707

920 8th Ave
Baraboo, WI 53913
Phone (608) 356-3811

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1851804306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WASHINGTON RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172957",
            "telephone_number": "714-941-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WASHINGTON RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172957",
            "telephone_number": "714-941-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUINKER",
        "first_name": "JUSTIN",
        "middle_name": "DALE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.