Individual provider Active NPI

David M Watto, D.C

  • Chiropractor
  • Mt Pleasant Mills, PA
National Provider Identifier
1053499335
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004466L Issued in PA
Practice address
8638 Route 104
Suite 30
Mt Pleasant Mills, PA 17853-8752
Phone
(570) 539-2600
Fax
(570) 539-0066
NPI assigned
Nov 2, 2006
Last updated
Aug 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004466L PA Primary
Sports Physician Chiropractor 111NS0005X DC004466L PA
Rehabilitation Chiropractor 111NR0400X DC004466L PA

Addresses

Primary practice location

8638 Route 104
Suite 30
Mt Pleasant Mills, PA 17853-8752

Mailing address

8638 Route 104
Suite 30
Mt Pleasant Mills, PA 17853-8752
Phone (570) 539-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000628 PA Practitioner - Chiropractic 9830087402 Practice locations: Mt Pleasant Mills, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8638 Route 104
Suite 30
Mt Pleasant Mills, PA 17853-8752
Phone (570) 539-2600

8638 Route 104 30
Watto Chiro Centre
Mt Pleasant Mills, PA 17853-8752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC004466LPAMDRehabilitation Chiropractor

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": "1346025600000",
    "number": "1053499335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8638 ROUTE 104",
            "address_2": "SUITE 30",
            "city": "MT PLEASANT MILLS",
            "state": "PA",
            "postal_code": "178538752",
            "telephone_number": "570-539-2600",
            "fax_number": "570-539-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8638 ROUTE 104",
            "address_2": "SUITE 30",
            "city": "MT PLEASANT MILLS",
            "state": "PA",
            "postal_code": "178538752",
            "telephone_number": "570-539-2600",
            "fax_number": "570-539-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTO",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004466L",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC004466L",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC004466L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.