Organization Active NPI

Ralph J. Demarino, D.C., P.C.

Doing business as Atlas Chiropractic Health Center

  • Chiropractor
  • Philadelphia, PA
National Provider Identifier
1356494793
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006178L Issued in PA
Legal business name
RALPH J. DEMARINO, D.C., P.C.
Doing business as
Atlas Chiropractic Health Center
Practice address
333 Bainbridge St
1St Floor
Philadelphia, PA 19147-1542
Phone
(215) 922-6333
Fax
(215) 922-6310
NPI assigned
Jan 19, 2007
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Ralph J Demarino, D.C., P.C.NPI 1720184245
Title
Chiropractor
Phone
(215) 922-6333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006178L PA Primary

Addresses

Primary practice location

333 Bainbridge St
1St Floor
Philadelphia, PA 19147-1542

Mailing address

333 Bainbridge St
1St Floor
Philadelphia, PA 19147-1542
Phone (215) 922-6333

Other identifiers 3

IdentifierTypeStateIssuer
0167580000OtherPAKEYSTONE HEALTH PLAN EAST
0167580000OtherPAPERSONAL CHOICE
01561895MedicaidPA

Other names 1

  • Atlas Chiropractic Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000599 PA Part B Supplier - Clinic/Group Practice 5890879597 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1356494793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BAINBRIDGE ST",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471542",
            "telephone_number": "215-922-6333",
            "fax_number": "215-922-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BAINBRIDGE ST",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471542",
            "telephone_number": "215-922-6333",
            "fax_number": "215-922-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH J. DEMARINO, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "DEMARINO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "215-922-6333",
        "authorized_official_credential": "D.C., P.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006178L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0167580000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0167580000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01561895",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 23, 2008; 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.