Individual provider Active NPI

Sebastian John Frazetta, DC

  • Chiropractor
  • Springdale, PA
National Provider Identifier
1346235140
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005111L Issued in PA
Practice address
846 Pittsburgh St
Springdale, PA 15144-1623
Phone
(724) 274-9440
Fax
(724) 274-0858
NPI assigned
Sep 19, 2005
Last updated
Feb 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005111L PA Primary

Addresses

Primary practice location

846 Pittsburgh St
Springdale, PA 15144-1623

Mailing address

846 Pittsburgh St
Springdale, PA 15144-1623
Phone (724) 274-9440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070521000336 PA Practitioner - Chiropractic 4981647237 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

846 Pittsburgh St
Springdale, PA 15144-1623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frazetta Family Chiropractic PC Chiropractor CurrentSince Mar 31, 2009 Accepting new patients
Frazetta Chiropractic Health Center Chiropractor PastSince Feb 1, 1994 Accepting new patients

Locations

846 Pittsburgh St
Springdale, PA 15144
Phone (724) 274-9440

Organizations & group practices 2

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1346235140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 PITTSBURGH ST",
            "city": "SPRINGDALE",
            "state": "PA",
            "postal_code": "151441623",
            "telephone_number": "724-274-9440",
            "fax_number": "724-274-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 PITTSBURGH ST",
            "city": "SPRINGDALE",
            "state": "PA",
            "postal_code": "151441623",
            "telephone_number": "724-274-9440",
            "fax_number": "724-274-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZETTA",
        "first_name": "SEBASTIAN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005111L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.