Organization Active NPI

Gregg F Rhodes DC PC

  • Chiropractor
  • Montoursville, PA
National Provider Identifier
1871802397
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002857L Issued in PA
Legal business name
GREGG F RHODES DC PC
Practice address
333 Broad St
Montoursville, PA 17754-2205
Phone
(570) 368-2897
Fax
(570) 368-2852
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Dr. Gregg F Rhodes, DC PC
Title
Owner
Phone
(570) 368-2897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC002857L PA Primary

Addresses

Primary practice location

333 Broad St
Montoursville, PA 17754-2205

Mailing address

333 Broad St
Montoursville, PA 17754-2205
Phone (570) 368-2897

Other identifiers 1

IdentifierTypeStateIssuer
0009847250001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1871802397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BROAD ST",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177542205",
            "telephone_number": "570-368-2897",
            "fax_number": "570-368-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BROAD ST",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177542205",
            "telephone_number": "570-368-2897",
            "fax_number": "570-368-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG F RHODES DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-368-2897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC PC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002857L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009847250001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montoursville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.