NPIMap

Organization Active NPI

Rocco Diana DC, P.C.

  • Chiropractor
  • Moscow, PA
National Provider Identifier
1174199293
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROCCO DIANA DC, P.C.
Practice address
1186 Church St
Moscow, PA 18444-9346
Phone
(570) 842-5131
Fax
(570) 842-5126
NPI assigned
May 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Dr. Rocco G Diana, DCNPI 1487986741
Title
President
Phone
(570) 351-5911

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 Primary

Addresses

Primary practice location

1186 Church St
Moscow, PA 18444-9346

Mailing address

1186 Church St
Moscow, PA 18444-9346
Phone (570) 842-5131

Other names 1

  • Vital Link Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210610001849 PA Part B Supplier - Clinic/Group Practice 9032519103 Receives reassigned benefits from 5 practitioners
Practice locations: Moscow, PA

National Provider Directory

National Provider Directory

Locations

1186 Church St
Moscow, PA 18444
Phone (570) 842-5131

Practitioners & affiliated clinicians

Practitioners 6

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": "1622332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1174199293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 CHURCH ST",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449346",
            "telephone_number": "570-842-5131",
            "fax_number": "570-842-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 CHURCH ST",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449346",
            "telephone_number": "570-842-5131",
            "fax_number": "570-842-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCCO DIANA DC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "DIANA",
        "authorized_official_first_name": "ROCCO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-351-5911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Link Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moscow, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.