Individual provider Active NPI

Laurel Gretz Pisciottano, D.C.

  • Chiropractor
  • Canonsburg, PA
National Provider Identifier
1114991247
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0004148-L Issued in PA
Practice address
701 Technology Dr Ste 50
Canonsburg, PA 15317-9506
Phone
(724) 942-4444
Fax
(724) 485-2286
NPI assigned
Feb 15, 2006
Last updated
May 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0004148-L PA Primary

Addresses

Primary practice location

701 Technology Dr Ste 50
Canonsburg, PA 15317-9506

Mailing address

701 Technology Dr Ste 50
Canonsburg, PA 15317-9506
Phone (724) 942-4444

Other names 1

  • Dr. Laurel Gretz Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000857 PA Practitioner - Chiropractic 1658388210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 Technology Dr
Suite 205
Canonsburg, PA 15317-9513
Phone (724) 942-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0004148-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Radiance Chiropractic Chiropractor CurrentSince Oct 10, 2017 Accepting new patients
Pierce Chiropractic Clinic Chiropractor CurrentSince Dec 1, 2024 Accepting new patients
Ronald J Gretz DC PC Chiropractor PastSince Dec 1, 2005 Accepting new patients

Locations

333 Technology Dr
Ste 205
Canonsburg, PA 15317

370 Southpointe Blvd
Ste 100
Canonsburg, PA 15317

701 Technology Dr
Ste 50
Canonsburg, PA 15317

209 Richland Ave
Ste 1
Dravosburg, PA 15034
Phone (412) 469-2000

300 Cedar Hill Dr
McMurray, PA 15317
Phone (724) 743-4500

4500 Clairton Blvd
Pittsburgh, PA 15236
Phone (412) 885-2929

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1114991247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 50",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179506",
            "telephone_number": "724-942-4444",
            "fax_number": "724-485-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 50",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179506",
            "telephone_number": "724-942-4444",
            "fax_number": "724-485-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETZ PISCIOTTANO",
        "first_name": "LAUREL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC0004148-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "GRETZ",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.