Active NPI
Larry Lester Dolter, DC
- Chiropractor
- Ellwood City, PA
National Provider Identifier
1942328323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC002314L
- Practice address
- RT 288 310 2
Ellwood City, PA 16117 - Phone
- (724) 758-4711
- Fax
- (724) 758-9619
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC002314L | PA | Primary |
Addresses
Primary practice location
RT 288 310 2
Ellwood City, PA 16117
Mailing address
RT 288 310 2
Ellwood City, PA 16117
Phone (724) 758-4711
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008440720002 | Medicaid | PA | |
| 1014562 | Other | PA | GATEWAY |
| 65584 | Other | PA | MED PLUS |
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": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942328323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RT 288 310 2",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "16117",
"telephone_number": "724-758-4711",
"fax_number": "724-758-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RT 288 310 2",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "16117",
"telephone_number": "724-758-4711",
"fax_number": "724-758-9619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLTER",
"first_name": "LARRY",
"middle_name": "LESTER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC002314L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008440720002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1014562",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED PLUS",
"identifier": "65584",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellwood City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.