Advantage Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009985 Issued in PA

Legal business name

ADVANTAGE CHIROPRACTIC

Practice address

29 S Market St
Elizabethtown, PA 17022-2308

Phone

(717) 367-3100

Fax

(717) 367-9200

NPI assigned

Feb 2, 2007

Last updated

Aug 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Jonathan Doody, D.C.NPI 1851390652

Title

Owner

Phone

(717) 367-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Timothy Ball, D.C.

  • Chiropractor
  • Elizabethtown, PA
  • NPI 1255579017
  Medicare reassignment NPD
• Mark J. Doody, D.C.

  • Chiropractor
  • Elizabethtown, PA
  • NPI 1851390652
  Authorized official Same address or phone

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1871631887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S MARKET ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222308",
            "telephone_number": "717-367-3100",
            "fax_number": "717-367-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S MARKET ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222308",
            "telephone_number": "717-367-3100",
            "fax_number": "717-367-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "DOODY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-367-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7419211",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sarah Marie Altman-Kopko, MA, MM, MA CCC-SLP
• Alyssa Kate Anderson, M.D.
• Alyxandria Lyn Andrews, CRNP

• Chiropractor in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.