Individual provider Active NPI

Peter Pacienza, D.C.

  • Chiropractor
  • Ligonier, PA
National Provider Identifier
1306850110
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009648 Issued in PA
Practice address
621 W Main St
Suite 2
Ligonier, PA 15658-1017
Phone
(724) 238-6920
Fax
(724) 238-6940
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009648 PA Primary

Addresses

Primary practice location

621 W Main St
Suite 2
Ligonier, PA 15658-1017

Mailing address

621 W Main St
Suite 2
Ligonier, PA 15658-1017
Phone (724) 238-6920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060925000195 PA Practitioner - Chiropractic 7315942430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

519 W Main St
Suite 1
Ligonier, PA 15658-1015
Phone (724) 238-6920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009648PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Chiropractic of Ligonier P.C. Chiropractor CurrentSince Jan 28, 2009 Accepting new patients

Locations

621 W Main St
Ste 2
Ligonier, PA 15658
Phone (724) 238-6920

519 W Main St
#1
Ligonier, PA 15658
Phone (724) 238-6920

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306850110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581017",
            "telephone_number": "724-238-6920",
            "fax_number": "724-238-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581017",
            "telephone_number": "724-238-6920",
            "fax_number": "724-238-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIENZA",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ligonier, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.