Individual provider Active NPI

Julie Madeira Niedwick, D.C.

  • Chiropractor
  • Mechanicsburg, PA
National Provider Identifier
1992839070
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006410L Issued in PA
Practice address
2106 Aspen Dr
Mechanicsburg, PA 17055-5507
Phone
(717) 766-9700
Fax
(717) 909-6870
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006410L PA Primary

Addresses

Primary practice location

2106 Aspen Dr
Mechanicsburg, PA 17055-5507

Mailing address

2106 Aspen Dr
Mechanicsburg, PA 17055-5507
Phone (717) 766-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100716000428 PA Practitioner - Chiropractic 8426029117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2106 Aspen Dr
Mechanicsburg, PA 17055-5507
Phone (717) 766-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC006410LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Madeira Chiropractic, P.C. CurrentSince Jan 9, 2010 Accepting new patients

Locations

2106 Aspen Dr
Mechanicsburg, PA 17055
Phone (717) 691-9683

2507 Old Gettysburg Rd
Shiremanstown, PA 17011
Phone (717) 586-6416

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1992839070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 ASPEN DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555507",
            "telephone_number": "717-766-9700",
            "fax_number": "717-909-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 ASPEN DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555507",
            "telephone_number": "717-766-9700",
            "fax_number": "717-909-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDWICK",
        "first_name": "JULIE",
        "middle_name": "MADEIRA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006410L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.