Individual provider Active NPI

Marcy James Dionisio, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1295818136
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4998 Issued in AZ
Practice address
4722 E Ray Rd Ste 5
Phoenix, AZ 85044-6226
Phone
(480) 460-1399
Fax
(480) 460-1880
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4998 AZ Primary

Addresses

Primary practice location

4722 E Ray Rd Ste 5
Phoenix, AZ 85044-6226

Mailing address

7575 W Bell Rd
Suite# 101
Peoria, AZ 85382-4807
Phone (623) 412-7877

Other identifiers 1

IdentifierTypeStateIssuer
AZ0934240OtherAZBCBS OF AZ NON-PAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000349 AZ Practitioner - Chiropractic 0244225134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4722 E Ray Rd
Suite 5
Phoenix, AZ 85044-6226
Phone (480) 460-1399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC4998AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Touch Family Chiropractic, P.C. Chiropractor PastSince Mar 1, 2004 Accepting new patients
Copp Chiropractic LLC Chiropractor Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1295818136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 W BELL RD",
            "address_2": "SUITE# 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853824807",
            "telephone_number": "623-412-7877",
            "fax_number": "623-979-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 E RAY RD STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446226",
            "telephone_number": "480-460-1399",
            "fax_number": "480-460-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONISIO",
        "first_name": "MARCY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC4998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ NON-PAR",
            "identifier": "AZ0934240",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.