Organization Active NPI

Nissley Family Chiropractic

  • Chiropractor
  • Leola, PA
National Provider Identifier
1982761185
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007379L Issued in PA
Legal business name
NISSLEY FAMILY CHIROPRACTIC
Practice address
34 Keystone CT
Leola, PA 17540-2207
Phone
(717) 656-8000
Fax
(717) 656-8080
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Nissley Jr., D.C.
Title
Owner
Phone
(717) 656-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007379L PA Primary

Addresses

Primary practice location

34 Keystone CT
Leola, PA 17540-2207

Mailing address

34 Keystone CT
Leola, PA 17540-2207
Phone (717) 656-8000

National Provider Directory

National Provider Directory

Locations

34 Keystone Ct
Leola, PA 17540
Phone (717) 656-8000

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982761185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 KEYSTONE CT",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "175402207",
            "telephone_number": "717-656-8000",
            "fax_number": "717-656-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 KEYSTONE CT",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "175402207",
            "telephone_number": "717-656-8000",
            "fax_number": "717-656-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSLEY FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NISSLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-656-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007379L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leola, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.