Dimond Chiropractic
Organization Active NPI Chiropractor · McGrann, PA
NPI 1922526409 · NPPES record last updated May 7, 2018
Key facts
- NPI
- 1922526409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC009633 (PA)
- Legal business name
- DIMOND CHIROPRACTIC
- Practice address
- 570 Hill St
McGrann, PA 16236 - Phone
- (724) 763-8000
- Fax
- (724) 763-8007
- NPI assigned
- Sep 5, 2017
- Organization subpart
- No
Authorized official
- Name
- Nancy I Wasson
- Title
- Office Manager
- Phone
- (724) 763-8000
Practitioners 2
-
John R Dimond, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180510000159 | PA | Part B Supplier - Clinic/Group Practice | 1850655374 |
Receives reassigned benefits from 1 practitioner Practice locations: McGrann, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC009633 | PA | Yes |
Addresses
Primary practice location
570 Hill St
McGrann, PA 16236
Mailing address
PO Box 200
570 Hill St
McGrann, PA 16236
Phone (724) 763-8000
Other providers in McGrann, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.