Organization Active NPI

Dicesare Family Chiropractic, P.C.

  • Chiropractor
  • Bensalem, PA
National Provider Identifier
1093736902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007752L Issued in PA
Legal business name
DICESARE FAMILY CHIROPRACTIC, P.C.
Practice address
5627 Bensalem Blvd
Bensalem, PA 19020-3329
Phone
(215) 638-4886
Fax
(215) 638-4887
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kimberly Ann Dicesare, D.C.NPI 1023058740
Title
President
Phone
(215) 638-4886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC007752L PA Primary

Addresses

Primary practice location

5627 Bensalem Blvd
Bensalem, PA 19020-3329

Mailing address

5627 Bensalem Blvd
Bensalem, PA 19020-3329
Phone (215) 638-4886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000481 PA Part B Supplier - Clinic/Group Practice 6406829902 Receives reassigned benefits from 1 practitioner
Practice locations: Bensalem, PA

National Provider Directory

National Provider Directory

Locations

5627 Bensalem Blvd
Bensalem, PA 19020
Phone (215) 638-4886

Practitioners & affiliated clinicians

Practitioners 1

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093736902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 BENSALEM BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203329",
            "telephone_number": "215-638-4886",
            "fax_number": "215-638-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 BENSALEM BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203329",
            "telephone_number": "215-638-4886",
            "fax_number": "215-638-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICESARE FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICESARE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-638-4886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007752L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.