Individual provider Active NPI

John Allan Esarco II, D.C.

  • Chiropractor
  • Boardman, OH
National Provider Identifier
1043467715
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3919 Issued in OH
Practice address
7505 California Ave Ste a
Boardman, OH 44512-5618
Phone
(330) 758-1599
Fax
(330) 758-6053
NPI assigned
Aug 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3919 OH Primary

Addresses

Primary practice location

7505 California Ave Ste a
Boardman, OH 44512-5618

Mailing address

7505 California Ave Ste a
Boardman, OH 44512-5618
Phone (330) 758-1599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090724000388 OH Practitioner - Chiropractic 2567515471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7505 California Ave
A
Boardman, OH 44512-5618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3919OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
John a Esarco D.C. LTD Chiropractor PastSince Dec 28, 2012 Accepting new patients

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1043467715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 CALIFORNIA AVE STE A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125618",
            "telephone_number": "330-758-1599",
            "fax_number": "330-758-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 CALIFORNIA AVE STE A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125618",
            "telephone_number": "330-758-1599",
            "fax_number": "330-758-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESARCO",
        "first_name": "JOHN",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.