Organization Active NPI

McConnell Specific Chiropractic

  • Chiropractor
  • Greenville, PA
National Provider Identifier
1922214964
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007677L Issued in PA
Legal business name
MCCONNELL SPECIFIC CHIROPRACTIC
Practice address
177 Main St
Greenville, PA 16125-2145
Phone
(724) 588-8880
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brent McConnell, DC
Title
Owner
Phone
(724) 588-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC007677L PA Primary

Addresses

Primary practice location

177 Main St
Greenville, PA 16125-2145

Mailing address

177 Main St
Greenville, PA 16125-2145
Phone (724) 588-8880

Other identifiers 1

IdentifierTypeStateIssuer
786524OtherPABLUES

Other names 1

  • BRENT MCCONNELL DC Doing business as

National Provider Directory

National Provider Directory

Locations

177 Main St
Greenville, PA 16125
Phone (724) 588-8880

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922214964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161252145",
            "telephone_number": "724-588-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161252145",
            "telephone_number": "724-588-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCONNELL SPECIFIC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-588-8880",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007677L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUES",
            "identifier": "786524",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRENT MCCONNELL DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.