Organization Active NPI

Sack Family Chiropractic, Inc.

  • Clinic/Center
  • Nazareth, PA
National Provider Identifier
1922418722
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC009693 Issued in PA
Legal business name
SACK FAMILY CHIROPRACTIC, INC.
Practice address
163 S Green St
Nazareth, PA 18064-2014
Phone
(610) 759-0500
NPI assigned
May 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Drew Sack, D.C.NPI 1750459434
Title
President
Phone
(484) 619-1266

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
Clinic/Center 261Q00000X DC009693 PA Primary

Addresses

Primary practice location

163 S Green St
Nazareth, PA 18064-2014

Mailing address

163 S Green St
Nazareth, PA 18064-2014
Phone (610) 759-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140507001232 PA Part B Supplier - Clinic/Group Practice 8123251667 Receives reassigned benefits from 1 practitioner
Practice locations: Nazareth, PA

National Provider Directory

National Provider Directory

Locations

163 S Green St
Nazareth, PA 18064
Phone (610) 759-0500

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": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1922418722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 S GREEN ST",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642014",
            "telephone_number": "610-759-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 S GREEN ST",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180642014",
            "telephone_number": "610-759-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACK FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2022-01-11",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "SACK",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-619-1266",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "DC009693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.