Provider Demographics
NPI:1285647495
Name:CASTE AREA CHIROPRACTIC INC
Entity Type:Organization
Organization Name:CASTE AREA CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-885-3533
Mailing Address - Street 1:5301 GROVE ROAD
Mailing Address - Street 2:CASTE VILLAGE MALL SUITE M108
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236
Mailing Address - Country:US
Mailing Address - Phone:412-885-3533
Mailing Address - Fax:412-885-3417
Practice Address - Street 1:5301 GROVE ROAD
Practice Address - Street 2:CASTE VILLAGE MALL SUITE M108
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236
Practice Address - Country:US
Practice Address - Phone:412-885-3533
Practice Address - Fax:412-885-3417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007155L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01689452Medicaid
PACA750881OtherBCBS
PACA750881OtherBCBS
PACA005459Medicare ID - Type Unspecified