Individual provider Active NPI

Thad Robert Swales, D.C.

  • Chiropractor
  • Brookville, PA
National Provider Identifier
1992872543
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004079L Issued in PA
Practice address
93 Pickering St
Brookville, PA 15825-1243
Phone
(814) 849-3331
Fax
(814) 849-4177
NPI assigned
Nov 29, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004079L PA Primary

Addresses

Primary practice location

93 Pickering St
Brookville, PA 15825-1243

Mailing address

93 Pickering St
Brookville, PA 15825-1243
Phone (814) 849-3331

Other identifiers 1

IdentifierTypeStateIssuer
0011828840002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC004079LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Click Family Chiropractic, LLC Chiropractor PastSince Nov 6, 2018 Accepting new patients

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992872543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 PICKERING ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251243",
            "telephone_number": "814-849-3331",
            "fax_number": "814-849-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 PICKERING ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251243",
            "telephone_number": "814-849-3331",
            "fax_number": "814-849-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWALES",
        "first_name": "THAD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004079L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011828840002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.