Individual provider Active NPI

Mark Vincent Scarano, DC

  • Chiropractor
  • Dayton, OH
National Provider Identifier
1023196144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3330 Issued in OH
Practice address
30 W Rahn Road
28
Dayton, OH 45429
Phone
(937) 294-2828
Fax
(937) 434-7607
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 3330 OH Primary

Addresses

Primary practice location

30 W Rahn Road
28
Dayton, OH 45429

Mailing address

30 W Rahn Road
28
Dayton, OH 45429
Phone (937) 294-2828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151027001131 OH Practitioner - Chiropractic 6901115229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive Health and Injury Center LLCGroup PAC ID 0648523035, 2 clinicians

Practice addresses (Care Compare)

333 N Limestone St
Suite 101
Springfield, OH 45503-4250
Phone (530) 868-6919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3330OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Health and Injury Center, LLC Chiropractor CurrentSince Apr 13, 2025 Accepting new patients
Moore Chiropractic Clinic, Inc. Chiropractor PastSince Aug 23, 2015 Accepting new patients

Locations

333 N Limestone St
Ste 101
Springfield, OH 45503
Phone (530) 868-6919

Organizations & group practices 2

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023196144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W RAHN ROAD",
            "address_2": "28",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-294-2828",
            "fax_number": "937-434-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W RAHN ROAD",
            "address_2": "28",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-294-2828",
            "fax_number": "937-434-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARANO",
        "first_name": "MARK",
        "middle_name": "VINCENT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.