Dicesaro Spine & Sport LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007018 Issued in PA

Legal business name

DICESARO SPINE & SPORT LLC

Practice address

5990 University Blvd Ste 19
Coraopolis, PA 15108-4229

Phone

(412) 299-3824

Fax

(412) 299-3828

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Daniel T Dicesaro, DCNPI 1275645335

Title

President

Phone

(412) 299-3824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel T Dicesaro, DC

  • Chiropractor
  • Coraopolis, PA
  • NPI 1275645335
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1265630289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151080861",
            "telephone_number": "412-299-3824",
            "fax_number": "412-299-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 UNIVERSITY BLVD STE 19",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084229",
            "telephone_number": "412-299-3824",
            "fax_number": "412-299-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICESARO SPINE & SPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "DICESARO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-299-3824",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decaria Brothers Inc
• Dental Professionals of Pennsylvania, P.C.
• Dermatology Associates of Western Pennsylvania Inc.
• Dermatology Associates of Western Pennsylvania Inc.
• Jacqueline Fratto Di Piazza, D.M.D.
• Daniel T Dicesaro, DC
• Erica Renee Dickson
• Dicostanzo DMD PLLC
• Megan E Dicostanzo, D.M.D.
• Judy L Disanti, D.M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.