Individual provider Active NPI

Phillip McCloy Herd, DC

  • Chiropractor
  • Mt Pleasant, PA
National Provider Identifier
1942290614
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001397L Issued in PA
Practice address
263 E Main St
Mt Pleasant, PA 15666-1648
Phone
(724) 547-4373
Fax
(724) 547-2982
NPI assigned
Oct 25, 2005
Last updated
Aug 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001397L PA Primary

Addresses

Primary practice location

263 E Main St
Mt Pleasant, PA 15666-1648

Mailing address

263 E Main St
Mt Pleasant, PA 15666-1648
Phone (724) 547-4373

Other identifiers 2

IdentifierTypeStateIssuer
482711OtherAETNA
115886OtherHIGHMARK BLUE CROSS

Other names 1

  • Dr. Phillip McCloy Herd Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1942290614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 E MAIN ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661648",
            "telephone_number": "724-547-4373",
            "fax_number": "724-547-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 E MAIN ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661648",
            "telephone_number": "724-547-4373",
            "fax_number": "724-547-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERD",
        "first_name": "PHILLIP",
        "middle_name": "MCCLOY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001397L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "482711",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "115886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILLIP",
            "last_name": "HERD",
            "middle_name": "MCCLOY",
            "prefix": "DR.",
            "credential": "DC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.