Individual provider Active NPI

Christopher J Sharbaugh, D.C.

  • Chiropractor
  • Indiana, PA
National Provider Identifier
1952327744
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009612 Issued in PA
Practice address
272 Rustic Lodge Road
Indiana, PA 15701-3451
Phone
(724) 465-5608
Fax
(724) 465-2168
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009612 PA Primary

Addresses

Primary practice location

272 Rustic Lodge Road
Indiana, PA 15701-3451

Mailing address

272 Rustic Lodge Road
Indiana, PA 15701-3451
Phone (724) 465-5608

Other identifiers 1

IdentifierTypeStateIssuer
1016424680001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060828000040 PA Practitioner - Chiropractic 5890799225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

272 Rustic Lodge Rd
Indiana, PA 15701-3451
Phone (724) 465-5608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Chiropractic, Inc. Chiropractor CurrentSince Jul 3, 2006 Accepting new patients

Locations

272 Rustic Lodge Rd
Indiana, PA 15701
Phone (724) 465-5608

2259 Philadelphia St
Indiana, PA 15701
Phone (724) 465-2225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1952327744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 RUSTIC LODGE ROAD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013451",
            "telephone_number": "724-465-5608",
            "fax_number": "724-465-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 RUSTIC LODGE ROAD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013451",
            "telephone_number": "724-465-5608",
            "fax_number": "724-465-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARBAUGH",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016424680001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.