Individual provider Active NPI

Mark Anthony Saracino, DC DACAN

  • Neurology Chiropractor
  • King of Prussia, PA
National Provider Identifier
1073515102
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
002534 L Issued in PA
Practice address
1150 1St Ave
Suite 120
King of Prussia, PA 19406-1334
Phone
(610) 337-3335
Fax
(610) 337-4858
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 038 004717 IL
Neurology Chiropractor 111NN0400X 002534 L PA Primary

Addresses

Primary practice location

1150 1St Ave
Suite 120
King of Prussia, PA 19406-1334

Mailing address

1150 1St Ave
Suite 120
King of Prussia, PA 19406-1334
Phone (610) 337-3335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000083 PA Practitioner - ChiropracticPractitioner - Neurology 4587646617 Practice locations: King of Prussia, PA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Neurology
Education
National College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 1St Ave
Suite 120
King of Prussia, PA 19406-1341
Phone (610) 337-3335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038 004717ILMDNeurology Chiropractor
002534 LPAMDNeurology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1073515102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 1ST AVE",
            "address_2": "SUITE 120",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061334",
            "telephone_number": "610-337-3335",
            "fax_number": "610-337-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 1ST AVE",
            "address_2": "SUITE 120",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061334",
            "telephone_number": "610-337-3335",
            "fax_number": "610-337-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARACINO",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC DACAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IL",
            "license": "038 004717",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "PA",
            "license": "002534 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.