Carl Jackson Baccellieri, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011912 Issued in PA

Practice address

226 E State St
Kennett Square, PA 19348-3125

Phone

(610) 444-8155

NPI assigned

Mar 18, 2024

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fitchett Chiropractic Center, PCGroup PAC ID 3678674462, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chester County Hospital Hospital, West Chester, PA, CCN 390179

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Baccellieri Chiropractic LLC

  • Chiropractor
  • Kennett Square, PA
  • NPI 1801776018
  Medicare reassignment NPD Authorized official
• Fitchett Chiropractic Center, PC

  • Chiropractor
  • West Grove, PA
  • NPI 1023188117
  Medicare reassignment Care Compare group NPD
• Total Health Center Kennett Square LLC

  • Chiropractor
  • Kennett Square, PA
  • NPI 1952076077
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chester County Hospital

  • General Acute Care Hospital
  • West Chester, PA
  • NPI 1356333579
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1023877370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WILLOW GREEN LN",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481765",
            "telephone_number": "484-947-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483125",
            "telephone_number": "610-444-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCELLIERI",
        "first_name": "CARL",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bahareh Assadi, MD
• Casey Avello
• Baccellieri Chiropractic LLC
• Baccellieri Family Dentistry LLP
• Carl Edward Baccellieri II, D.M.D.
• Samuel Bak, OTR/L
• Mark J Barimani, PAC
• Barry Kanofsky OD PA
• Paula Sorokanich Barry, MD
• Alyssa K Bartkus, CCC-SLP

• Chiropractor in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.