Individual provider Active NPI

William Joseph Walsh IV

  • Chiropractor
  • Bellevue, PA
National Provider Identifier
1992189708
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011045 Issued in PA
Practice address
700 Lincoln Ave
Bellevue, PA 15202-3407
Phone
(412) 766-5577
Fax
(412) 766-4350
NPI assigned
Jul 13, 2015
Last updated
Jul 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011045 PA Primary

Addresses

Primary practice location

700 Lincoln Ave
Bellevue, PA 15202-3407

Mailing address

700 Lincoln Ave
Bellevue, PA 15202-3407
Phone (412) 766-5577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826000216 PA Practitioner - Chiropractic 9133435837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellevue Chiropractic Centre PCGroup PAC ID 5991060741, 2 clinicians

Practice addresses (Care Compare)

700 Lincoln Ave
Bellevue, PA 15202-3407
Phone (412) 766-5577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011045PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Chiropractic Centre, P.C. Chiropractor CurrentSince Jul 1, 2018 Accepting new patients

Locations

700 Lincoln Ave
Pittsburgh, PA 15202
Phone (412) 766-5577

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1992189708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LINCOLN AVE",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023407",
            "telephone_number": "412-766-5577",
            "fax_number": "412-766-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LINCOLN AVE",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023407",
            "telephone_number": "412-766-5577",
            "fax_number": "412-766-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.