Organization Active NPI

Advanced Chiropractic of Dubois

  • Chiropractor
  • Du Bois, PA
National Provider Identifier
1922334077
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008784 Issued in PA
Legal business name
ADVANCED CHIROPRACTIC OF DUBOIS
Practice address
1116 Maple Ave
Du Bois, PA 15801-2904
Phone
(817) 371-7211
Fax
(814) 371-7238
NPI assigned
Oct 26, 2009
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Jennifer McGowan Peters, D.C.
Title
Co-Owner/ Chiropractor
Phone
(817) 371-7211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008741 PA
Chiropractor 111N00000X DC008784 PA Primary

Addresses

Primary practice location

1116 Maple Ave
Du Bois, PA 15801-2904

Mailing address

1116 Maple Ave
Du Bois, PA 15801-2904
Phone (817) 371-7211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1922334077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 MAPLE AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012904",
            "telephone_number": "817-371-7211",
            "fax_number": "814-371-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 MAPLE AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012904",
            "telephone_number": "817-371-7211",
            "fax_number": "814-371-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC OF DUBOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MCGOWAN",
        "authorized_official_title_or_position": "CO-OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "817-371-7211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008741",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.