Active NPI
Leonard Joseph Nork Jr., D.C.
- Chiropractor
- Hazleton, PA
National Provider Identifier
1871580373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC001662L
- Practice address
- 930 W 21St St
Hazleton, PA 18202-1627 - Phone
- (570) 455-0144
- Fax
- (570) 455-6920
- NPI assigned
- Sep 30, 2005
- Last updated
- Dec 3, 2018
- 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 | DC001662L | PA | Primary |
Addresses
Primary practice location
930 W 21St St
Hazleton, PA 18202-1627
Mailing address
930 W 21St St
Hazleton, PA 18202-1627
Phone (570) 455-0144
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000614887 | Medicaid | PA | |
| 543232 | Other | PA | AETNA |
| 1001796 | Other | PA | ASHN |
| 350006410 | Other | PA | RAILROAD MEDICARE |
| 111008 | Other | PA | HIGHMARK BLUE SHIELD |
| 806038 | Other | PA | BLUE CROSS NEPA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
930 W 21St St
Hazle Township, PA 18202-1627
Phone (717) 455-0144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC001662L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leonard J Nork DC | Chiropractor | Current | Accepting new patients |
Locations
930 W 21st St
Hazle Township, PA 18202
Phone (570) 455-0144
930 W 21st St
#J
Hazle Township, PA 18202
Organizations & group practices 1
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": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1871580373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 W 21ST ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182021627",
"telephone_number": "570-455-0144",
"fax_number": "570-455-6920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 W 21ST ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182021627",
"telephone_number": "570-455-0144",
"fax_number": "570-455-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORK",
"first_name": "LEONARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC001662L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000614887",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "543232",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "1001796",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350006410",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "111008",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NEPA",
"identifier": "806038",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.