Port Allegany Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PORT ALLEGANY CHIROPRACTIC LLC

Practice address

717 E Mill St
Port Allegany, PA 16743-9743

Phone

(814) 642-7236

Fax

(814) 313-7535

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Andrew M Young, DCNPI 1194809137

Title

Owner

Phone

(716) 307-7904

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Mitchell Young, D.C.

  • Chiropractor
  • Olean, NY
  • NPI 1194809137

  PA

  Medicare reassignment NPD Authorized official
• Thad Nathan Diehl, D.C.

  • Chiropractor
  • Port Allegany, PA
  • NPI 1235139015
  NPD

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1972195832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E MILL ST",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167439743",
            "telephone_number": "814-642-7236",
            "fax_number": "814-313-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E MILL ST",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167439743",
            "telephone_number": "814-642-7236",
            "fax_number": "814-313-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ALLEGANY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-307-7904",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse D Minor, CRNP
• Jennifer A Morrison, LCSW
• Newtko Inc
• Olean Medical Group Partnership
• Port Allegany Area Family Practice PC
• Port Aqllegany Pharmacy
• Port Area Ambulance Service, Inc.
• Rite Aid of Pennsylvania LLC
• Sagewood, Inc.
• Daniel E Schott, OD

• Chiropractor in Port Allegany, PA
• Providers in Port Allegany, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.