Provider Demographics
NPI:1851463376
Name:DIPIPPA CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:DIPIPPA CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:S. MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:DIPIPPA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-283-2424
Mailing Address - Street 1:662 NEW CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-8338
Mailing Address - Country:US
Mailing Address - Phone:724-283-2424
Mailing Address - Fax:724-283-2440
Practice Address - Street 1:662 NEW CASTLE RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-8338
Practice Address - Country:US
Practice Address - Phone:724-283-2424
Practice Address - Fax:724-283-2440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005744-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3688504OtherAETNA
PA1648896OtherBCBS
PA508389OtherCIGNA
PA518922OtherBCBS
PAP00169766OtherRRM
PA518922TJPMedicare ID - Type Unspecified
PA518922OtherBCBS
PA1648896OtherBCBS