Individual provider Active NPI

Todd Edward Walukiewicz, D.C.

  • Chiropractor
  • Mars, PA
National Provider Identifier
1972726883
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009280 Issued in PA
Practice address
7011 Crider Rd. Suite 105
Black Creek Commons I
Mars, PA 16046
Phone
(724) 776-9977
Fax
(724) 776-9980
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009280 PA Primary

Addresses

Primary practice location

7011 Crider Rd. Suite 105
Black Creek Commons I
Mars, PA 16046

Mailing address

116 Broadstone Dr
Mars, PA 16046-5202
Phone (724) 776-2243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081003000125 PA Practitioner - Chiropractic 8224106398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grice ChiropracticGroup PAC ID 3274797931, 2 clinicians

Practice addresses (Care Compare)

1305 Grandview Ave
Suite 240
Pittsburgh, PA 15211-1205
Phone (412) 381-9977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009280PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grice Chiropractic Chiropractor CurrentSince Oct 27, 2014 Accepting new patients

Locations

1305 Grandview Ave
Ste 240
Pittsburgh, PA 15211
Phone (412) 381-9977

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1972726883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BROADSTONE DR",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160465202",
            "telephone_number": "724-776-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 CRIDER RD. SUITE 105",
            "address_2": "BLACK CREEK COMMONS I",
            "city": "MARS",
            "state": "PA",
            "postal_code": "16046",
            "telephone_number": "724-776-9977",
            "fax_number": "724-776-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALUKIEWICZ",
        "first_name": "TODD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mars, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.