Organization Active NPI

Dicello Chiropractic Care, P. C.

  • Chiropractor
  • Pottsville, PA
National Provider Identifier
1215068218
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006181-L Issued in PA
Legal business name
DICELLO CHIROPRACTIC CARE, P. C.
Practice address
1825 W Market St
Pottsville, PA 17901-2001
Phone
(570) 622-1170
NPI assigned
Mar 8, 2007
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. Christina Marie Dicello, D. C.NPI 1326179326
Title
President
Phone
(570) 622-1170

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 DC006181-L PA Primary

Addresses

Primary practice location

1825 W Market St
Pottsville, PA 17901-2001

Mailing address

1825 W Market St
Pottsville, PA 17901-2001
Phone (570) 622-1170

Other identifiers 4

IdentifierTypeStateIssuer
P4384000OtherPAOXFORD ID NUMBER
2187051OtherPAAETNA ID NUMBER
008742OtherPAINDEPENDANCE BLUE SHIELD
4242090001OtherPAMEDICARE DME PROVIDER NO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071114000245 PA Part B Supplier - Clinic/Group Practice 7719075449 Receives reassigned benefits from 1 practitioner
Practice locations: Pottsville, PA

National Provider Directory

National Provider Directory

Locations

1825 W Market St
Pottsville, PA 17901
Phone (570) 622-1170

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215068218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 W MARKET ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012001",
            "telephone_number": "570-622-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 W MARKET ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012001",
            "telephone_number": "570-622-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICELLO CHIROPRACTIC CARE, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICELLO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-622-1170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006181-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID NUMBER",
            "identifier": "P4384000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID NUMBER",
            "identifier": "2187051",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANCE BLUE SHIELD",
            "identifier": "008742",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME PROVIDER NO",
            "identifier": "4242090001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, 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.