Benner Pike Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC003514L Issued in PA

Legal business name

BENNER PIKE CHIROPRACTIC CLINIC

Practice address

2820 Benner Pike
Bellefonte, PA 16823

Phone

(814) 355-1119

Fax

(814) 353-9144

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anthony W Marrara, DONPI 1245237981

Title

Owner/Chiropractor

Phone

(814) 355-1119

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Benner Pike Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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

• Anthony W Marrara, DC

  • Chiropractor
  • Bellefonte, PA
  • NPI 1245237981
  Medicare reassignment NPD Authorized official
• Jesse Bathgate, DC

  • Chiropractor
  • Bellefonte, PA
  • NPI 1740116821
  NPD (past)
• Matthew John Weaver, DC

  • Chiropractor
  • Bellefonte, PA
  • NPI 1578161477
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1992717136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 BENNER PIKE",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "16823",
            "telephone_number": "814-355-1119",
            "fax_number": "814-353-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 BENNER PIKE",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "16823",
            "telephone_number": "814-355-1119",
            "fax_number": "814-353-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNER PIKE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "MARRARA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "814-355-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003514L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008872",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010880500003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "T29857",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "167853",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benner Pike Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benner Pike Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie A Beamer, CRNP
• Jessica Elyse Beattie, PHARMD
• Bellefonte Area School District
• Bellefonte Emergency Medical Services
• Bellefonte Medical Clinic P.C.
• Michael Aaron Bennett, CPS
• Tessa Bills
• Larcynina De Guzman Bitner, MMS, PA-C
• Makenna Michelle Bittner, PA-C
• Heidi L Bloom

• Chiropractor in Bellefonte, PA
• Providers in Bellefonte, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.