Organization Active NPI

Healing Hands Chiropractic Association

  • Chiropractor
  • Mount Carmel, PA
National Provider Identifier
1982739330
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007321L Issued in PA
Legal business name
HEALING HANDS CHIROPRACTIC ASSOCIATION
Practice address
107 S Oak St
Mount Carmel, PA 17851-2145
Phone
(570) 339-4599
Fax
(866) 876-8987
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Jason Lawrence Burgess, DCNPI 1588663850
Title
Doctor
Phone
(570) 339-4599

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC007321L PA Primary

Addresses

Primary practice location

107 S Oak St
Mount Carmel, PA 17851-2145

Mailing address

107 S Oak St
Mount Carmel, PA 17851-2145
Phone (570) 339-4599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000460 PA Part B Supplier - Clinic/Group Practice 2769657949 Receives reassigned benefits from 2 practitioners
Practice locations: Minersville, PA; Mount Carmel, PA

National Provider Directory

National Provider Directory

Locations

107 S Oak St
Mount Carmel, PA 17851
Phone (570) 339-4599

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1982739330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S OAK ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178512145",
            "telephone_number": "570-339-4599",
            "fax_number": "866-876-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S OAK ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178512145",
            "telephone_number": "570-339-4599",
            "fax_number": "866-876-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS CHIROPRACTIC ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "570-339-4599",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007321L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.