Active NPI
Ralph George Ellenberger, DC
- Chiropractor
- Mount Joy, PA
National Provider Identifier
1861562878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC2373L
- Practice address
- 740 W Main Street
Mount Joy, PA 17552-1808 - Phone
- (717) 653-9176
- Fax
- (717) 653-9276
- NPI assigned
- Nov 8, 2006
- Last updated
- Sep 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC2373L | PA | Primary |
Addresses
Primary practice location
740 W Main Street
Mount Joy, PA 17552-1808
Mailing address
740 W Main Street
Mount Joy, PA 17552-1808
Phone (717) 653-9176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC2373L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1861562878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 W MAIN STREET",
"city": "MOUNT JOY",
"state": "PA",
"postal_code": "175521808",
"telephone_number": "717-653-9176",
"fax_number": "717-653-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 W MAIN STREET",
"city": "MOUNT JOY",
"state": "PA",
"postal_code": "175521808",
"telephone_number": "717-653-9176",
"fax_number": "717-653-9276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLENBERGER",
"first_name": "RALPH",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC2373L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Joy, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.