Individual provider Active NPI

Brian J Tokach, D.C.

  • Chiropractor
  • Williamsport, PA
National Provider Identifier
1871655258
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-007256L Issued in PA
Practice address
100 Eck Cir
Suite 1
Williamsport, PA 17701-3876
Phone
(570) 322-1245
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-007256L PA Primary

Addresses

Primary practice location

100 Eck Cir
Suite 1
Williamsport, PA 17701-3876

Mailing address

100 Eck Cir
Suite 1
Williamsport, PA 17701-3876
Phone (570) 322-1245

Other identifiers 1

IdentifierTypeStateIssuer
001734870-0001MedicaidPW

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000993 PA Practitioner - Chiropractic 7911962469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Medical and Rehab of Williamsport PCGroup PAC ID 8022250844, 3 clinicians

Practice addresses (Care Compare)

100 Eck Cir
Suite 1
Williamsport, PA 17701-3865
Phone (570) 322-1245

100 Eck Circle
Suite 1
Williamsport, PA 17701-3865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-007256LPAMDChiropractor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871655258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ECK CIR",
            "address_2": "SUITE 1",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013876",
            "telephone_number": "570-322-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ECK CIR",
            "address_2": "SUITE 1",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013876",
            "telephone_number": "570-322-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKACH",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007256L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001734870-0001",
            "state": "PW"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.