Active NPI
Richard S Capacio, DC
- Chiropractor
- Philadelphia, PA
National Provider Identifier
1245230929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC002723L
- Practice address
- 1837 S 2ND Street
Philadelphia, PA 19148 - Phone
- (215) 468-6800
- Fax
- (215) 468-6801
- NPI assigned
- Jul 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC002723L | PA | Primary |
| Orthopedic Chiropractor | 111NX0800X | DC002723L | PA |
Addresses
Primary practice location
1837 S 2ND Street
Philadelphia, PA 19148
Mailing address
410 Timber Circle
Wayne, PA 19087-2358
Phone (215) 468-6800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271474 | Other | PA | BLUE CROSS BLUE SHIELD |
| 01131437 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120315000556 | PA | Practitioner - Chiropractic | 9830358597 | Practice locations: Philadelphia, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1837 S 2ND St
Philadelphia, PA 19148-1946
Phone (215) 468-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC002723L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Avenue Chiropractic Center | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Philadelphia, PA
- NPI 1255542080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1245230929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 TIMBER CIRCLE",
"city": "WAYNE",
"state": "PA",
"postal_code": "190872358",
"telephone_number": "215-468-6800",
"fax_number": "215-468-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1837 S 2ND STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19148",
"telephone_number": "215-468-6800",
"fax_number": "215-468-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPACIO",
"first_name": "RICHARD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC002723L",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "PA",
"license": "DC002723L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "271474",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01131437",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.