Provider Demographics
NPI:1538283759
Name:CENGIA, DENNIS KEITH (DC)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:KEITH
Last Name:CENGIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4727 STATE ROUTE 30
Mailing Address - Street 2:SUITE101
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7270
Mailing Address - Country:US
Mailing Address - Phone:724-834-9550
Mailing Address - Fax:
Practice Address - Street 1:4727 STATE ROUTE 30
Practice Address - Street 2:SUITE101
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7270
Practice Address - Country:US
Practice Address - Phone:724-834-9550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004498L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACE671314OtherBCBS
PACE671314OtherBCBS