Anthony Depietro, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008925 Issued in PA

Practice address

1536 Main St
1St Floor Rear
Peckville, PA 18452-2062

Phone

(570) 291-4450

Fax

(570) 291-4454

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Depietro Chiropractic & Wellness LLC

  • Chiropractor
  • Peckville, PA
  • NPI 1629641055
  Medicare reassignment NPD Authorized official
• Chiropractic Associates of N.E.P.a PC

  • Chiropractor
  • Scranton, PA
  • NPI 1275679748
  NPD (past)
• Pinnacle Rehabilitation Associates PC

  • Physical Therapist
  • Kingston, PA
  • NPI 1134167729
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1194780122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 MAIN ST STE 1",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522062",
            "telephone_number": "570-291-4450",
            "fax_number": "570-291-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 MAIN ST",
            "address_2": "1ST FLOOR REAR",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522062",
            "telephone_number": "570-291-4450",
            "fax_number": "570-291-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPIETRO",
        "first_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE",
            "identifier": "001998704",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "20045679",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE HMO (FPH)",
            "identifier": "001998704",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101168716-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1058062/7225529",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP FAMILY",
            "identifier": "1194780122",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM-UHC",
            "identifier": "854450",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00315312",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "78572-1067",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Consalvo, M.D.
• Krista Cox, LCSW
• Cali Ann Craig
• Olivia Delvecchio, LSW
• Depietro Chiropractic & Wellness LLC
• Melanie Faith Depietro, PA-C
• Meena Desai, MD
• Ashley Elizabeth Dunning, LSW
• Eat and Thrive Now LLC
• Elecarellc

• Chiropractor in Peckville, PA
• Providers in Peckville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.