Individual provider Active NPI

Leah M Charney, D.C.

  • Chiropractor
  • Mill Hall, PA
National Provider Identifier
1942264874
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009328 Issued in PA
Practice address
3076 Eagle Valley Rd.
Mill Hall, PA 17751-1626
Phone
(570) 726-2000
Fax
(570) 726-8012
NPI assigned
Apr 17, 2006
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 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 DC009328 PA Primary
Chiropractor 111N00000X AJ009137 PA

Addresses

Primary practice location

3076 Eagle Valley Rd.
Mill Hall, PA 17751-1626

Mailing address

3076 Eagle Valley Rd.
Mill Hall, PA 17751-1626
Phone (570) 726-2000

Other identifiers 2

IdentifierTypeStateIssuer
1657365OtherBCBS
101128775-0001MedicaidPA

Other names 1

  • Dr. Leah M Kuk Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000901 PA Practitioner - Chiropractic 7315902467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3076 Eagle Valley Rd
Mill Hall, PA 17751-1626
Phone (570) 726-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AJ009137PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Charney Chiropractic LLC Chiropractor CurrentSince May 1, 2007 Accepting new patients

Locations

266 Hogan Blvd
Mill Hall, PA 17751
Phone (570) 748-9531

3076 Eagle Valley Rd
Mill Hall, PA 17751
Phone (570) 726-2000

Organizations & group practices 1

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1942264874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 EAGLE VALLEY RD.",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "177511626",
            "telephone_number": "570-726-2000",
            "fax_number": "570-726-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 EAGLE VALLEY RD.",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "177511626",
            "telephone_number": "570-726-2000",
            "fax_number": "570-726-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNEY",
        "first_name": "LEAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009328",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ009137",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1657365",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101128775-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "KUK",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mill Hall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.