NPIMap

Organization Active NPI

Marraccini Chiropractic Life Center P.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1124390737
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001872L Issued in PA
Legal business name
MARRACCINI CHIROPRACTIC LIFE CENTER P.C.
Practice address
17 Orchard Dr
Pittsburgh, PA 15220-3243
Phone
(412) 531-1715
Fax
(412) 531-6180
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Dr. David Joseph Marraccini Jr., D.C.NPI 1982745337
Title
Owner/President/Chiropractor
Phone
(412) 531-1715

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 DC001872L PA Primary

Addresses

Primary practice location

17 Orchard Dr
Pittsburgh, PA 15220-3243

Mailing address

17 Orchard Dr
Pittsburgh, PA 15220-3243
Phone (412) 531-1715

Other identifiers 2

IdentifierTypeStateIssuer
023544OtherPABLUE CROSS BLUE SHEILD
70071MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000477 PA Part B Supplier - Clinic/Group Practice 7911167051 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1124390737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ORCHARD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203243",
            "telephone_number": "412-531-1715",
            "fax_number": "412-531-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ORCHARD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203243",
            "telephone_number": "412-531-1715",
            "fax_number": "412-531-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRACCINI CHIROPRACTIC LIFE CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "MARRACCINI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "412-531-1715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001872L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "023544",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70071",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.