Individual provider Active NPI

Leonard Joseph Nork Jr., D.C.

  • Chiropractor
  • Hazleton, PA
National Provider Identifier
1871580373
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001662L Issued in PA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000614887MedicaidPA
543232OtherPAAETNA
1001796OtherPAASHN
350006410OtherPARAILROAD MEDICARE
111008OtherPAHIGHMARK BLUE SHIELD
806038OtherPABLUE CROSS NEPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130001141 PA Practitioner - Chiropractic 0840486049 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
DC001662LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Leonard J Nork DC Chiropractor CurrentSince Dec 4, 1978 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.

Verify at the official NPI Registry.