Individual provider Active NPI

Deana Micucci, D.C.

  • Chiropractor
  • Upper St Clair, PA
National Provider Identifier
1215990940
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
009132 Issued in PA
Practice address
2589 Washington Rd Ste 410
Upper St Clair, PA 15241-2566
Phone
(412) 833-1101
Fax
(412) 833-1075
NPI assigned
Apr 12, 2006
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 009132 PA Primary

Addresses

Primary practice location

2589 Washington Rd Ste 410
Upper St Clair, PA 15241-2566

Mailing address

2589 Washington Rd Ste 410
Upper St Clair, PA 15241-2566
Phone (412) 833-1101

Other identifiers 1

IdentifierTypeStateIssuer
1013694290001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726001216 PA Practitioner - Chiropractic 8921078239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dandm Chiropractic and Therapeutic Rehab IncGroup PAC ID 6507817962, 2 clinicians

Practice addresses (Care Compare)

2589 Washington Rd
Suite 410
Upper St Clair, PA 15241-2566
Phone (412) 833-1101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009132PAMDChiropractor

Organizations & group practices 1

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1215990940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 WASHINGTON RD STE 410",
            "city": "UPPER ST CLAIR",
            "state": "PA",
            "postal_code": "152412566",
            "telephone_number": "412-833-1101",
            "fax_number": "412-833-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 WASHINGTON RD STE 410",
            "city": "UPPER ST CLAIR",
            "state": "PA",
            "postal_code": "152412566",
            "telephone_number": "412-833-1101",
            "fax_number": "412-833-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICUCCI",
        "first_name": "DEANA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "009132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013694290001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper St Clair, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.