Individual provider Active NPI

John Daniel Huffman, DC

  • Chiropractor
  • Erie, PA
National Provider Identifier
1932200375
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009968 Issued in PA
Practice address
2030 E 38TH St
Erie, PA 16510-3607
Phone
(814) 825-2129
Fax
(814) 825-3134
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009968 PA Primary
Chiropractor 111N00000X OH3663 OH

Addresses

Primary practice location

2030 E 38TH St
Erie, PA 16510-3607

Mailing address

2030 E 38TH St
Erie, PA 16510-3607
Phone (814) 825-2129

Other identifiers 1

IdentifierTypeStateIssuer
1021964570001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081105000739 PA Practitioner - Chiropractic 4981785953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2030 E 38TH St
Erie, PA 16510-3607

3822 Conrad Rd
Erie, PA 16510-3514
Phone (814) 825-2129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3663OHMDClinical Psychologist
OH3663OHMDChiropractor
DC009968PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Huffman Family Chiropractic, LLC Chiropractor CurrentSince Oct 1, 2008 Accepting new patients
Sunbury Chiropractic Center Inc Chiropractor PastSince Jan 1, 2000 Accepting new patients

Locations

3822 Conrad Rd
Erie, PA 16510
Phone (814) 825-2129

2030 E 38th St
Erie, PA 16510
Phone (814) 825-2129

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1932200375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165103607",
            "telephone_number": "814-825-2129",
            "fax_number": "814-825-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165103607",
            "telephone_number": "814-825-2129",
            "fax_number": "814-825-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009968",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "OH3663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021964570001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.