Organization Active NPI

John a Esarco D.C. LTD

  • Chiropractor
  • Boardman, OH
National Provider Identifier
1073867743
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
596 Issued in OH
Legal business name
JOHN A ESARCO D.C. LTD
Practice address
7505 California Ave
Suite a
Boardman, OH 44512-5618
Phone
(330) 758-1599
Fax
(330) 758-6053
NPI assigned
Nov 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Dr. John Esarco, D.C.
Title
Chiropractor
Phone
(330) 758-1599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 596 OH Primary

Addresses

Primary practice location

7505 California Ave
Suite a
Boardman, OH 44512-5618

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0335739MedicaidOH

National Provider Directory

National Provider Directory

Locations

7505 California Ave
Ste A
Youngstown, OH 44512
Phone (330) 758-1599

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1073867743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 CALIFORNIA AVE",
            "address_2": "SUITE 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",
            "address_2": "SUITE A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125618",
            "telephone_number": "330-758-1599",
            "fax_number": "330-758-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A ESARCO D.C. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "ESARCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "330-758-1599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0335739",
            "state": "OH"
        }
    ],
    "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 Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.