Organization Active NPI

James R McDermott DC PC

Doing business as Herman Chiropractic of Kingston

  • Rehabilitation Chiropractor
  • Kingston, PA
National Provider Identifier
1972718674
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC007572-L Issued in PA
Legal business name
JAMES R MCDERMOTT DC PC
Doing business as
Herman Chiropractic of Kingston
Practice address
569 Pierce St
Kingston, PA 18704-5731
Phone
(570) 288-5800
Fax
(570) 288-5900
NPI assigned
May 14, 2007
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. James Robert McDermott, DCNPI 1831160126
Title
President
Phone
(570) 288-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC007572-L PA Primary

Addresses

Primary practice location

569 Pierce St
Kingston, PA 18704-5731

Mailing address

569 Pierce St
Kingston, PA 18704-5731
Phone (570) 288-5800

Other names 1

  • Herman Chiropractic of Kingston Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060519000019 PA Part B Supplier - Clinic/Group Practice 2961413463 Receives reassigned benefits from 2 practitioners
Practice locations: Kingston, PA

National Provider Directory

National Provider Directory
Tax ID family
Herman Chiropractic of Kingston2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

569 Pierce St
Kingston, PA 18704
Phone (570) 288-5800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1972718674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045731",
            "telephone_number": "570-288-5800",
            "fax_number": "570-288-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045731",
            "telephone_number": "570-288-5800",
            "fax_number": "570-288-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R MCDERMOTT DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-288-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC007572-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herman Chiropractic of Kingston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.