Penn Center Chiropractic & Rehab PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009354 Issued in PA

Legal business name

PENN CENTER CHIROPRACTIC & REHAB PC

Practice address

3424 William Penn Hwy
Suite 168
Pittsburgh, PA 15235-5444

Phone

(412) 823-2180

Fax

(412) 823-6165

NPI assigned

Oct 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Benz Succop, D.C.

Title

Director

Phone

(412) 823-2180

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1942552823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 WILLIAM PENN HWY",
            "address_2": "SUITE 168",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355444",
            "telephone_number": "412-823-2180",
            "fax_number": "412-823-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 WILLIAM PENN HWY",
            "address_2": "SUITE 168",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355444",
            "telephone_number": "412-823-2180",
            "fax_number": "412-823-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN CENTER CHIROPRACTIC & REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "SUCCOP",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "BENZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-823-2180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "001669989",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "722970",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Peng, LSW
• Eric Jingchi Peng, M.D.
• Alisa B. Penich, PA-C
• Leina Penland
• Brittany Michele Penman, RN
• Penn Center Chiropractic Clinic PC
• Penn Hills School District
• Penn Home Medical Supply Co., LLC
• Penn Neuromuscular Diagnostics, LLC
• Penn Women'S Counseling

• Chiropractor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.