Organization Active NPI

Mt Jackson Chiropractic Center P.C.

  • Chiropractor
  • New Castle, PA
National Provider Identifier
1891946059
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-004657-L Issued in PA
Legal business name
MT JACKSON CHIROPRACTIC CENTER P.C.
Practice address
500 Mount Jackson Rd
New Castle, PA 16102-2618
Phone
(724) 667-7160
Fax
(724) 667-8807
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
David E Hosaflook, D.C.NPI 1649279985
Title
Doctor/Owner
Phone
(724) 667-7160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-004657-L PA Primary

Addresses

Primary practice location

500 Mount Jackson Rd
New Castle, PA 16102-2618

Mailing address

500 Mount Jackson Rd
New Castle, PA 16102-2618
Phone (724) 667-7160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090504000279 PA Part B Supplier - Clinic/Group Practice 9830256189 Receives reassigned benefits from 1 practitioner
Practice locations: New Castle, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1891946059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MOUNT JACKSON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161022618",
            "telephone_number": "724-667-7160",
            "fax_number": "724-667-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MOUNT JACKSON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161022618",
            "telephone_number": "724-667-7160",
            "fax_number": "724-667-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT JACKSON CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "HOSAFLOOK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "724-667-7160",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-004657-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.