Organization Active NPI

Desaro Chiropractic Center PC

  • Chiropractor
  • Richboro, PA
National Provider Identifier
1356495741
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007390L Issued in PA
Legal business name
DESARO CHIROPRACTIC CENTER PC
Practice address
95 Almshouse Rd
Suite 304
Richboro, PA 18954
Phone
(215) 364-6636
Fax
(215) 364-5482
NPI assigned
Jan 22, 2007
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Mrs. Kristi K Desaro, DCNPI 1831396324
Title
Vice President Owner
Phone
(215) 364-6636

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007391L PA
Chiropractor 111N00000X DC007390L PA Primary

Addresses

Primary practice location

95 Almshouse Rd
Suite 304
Richboro, PA 18954

Mailing address

95 Almshouse Rd
Suite 304
Richboro, PA 18954
Phone (215) 364-6636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111128000036 PA Part B Supplier - Clinic/Group Practice 2567636798 Receives reassigned benefits from 2 practitioners
Practice locations: Richboro, PA

National Provider Directory

National Provider Directory

Locations

95 Almshouse Rd
Ste 304
Richboro, PA 18954
Phone (215) 364-6636

Practitioners & affiliated clinicians

Practitioners 2

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1356495741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ALMSHOUSE RD",
            "address_2": "SUITE 304",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "18954",
            "telephone_number": "215-364-6636",
            "fax_number": "215-364-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ALMSHOUSE RD",
            "address_2": "SUITE 304",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "18954",
            "telephone_number": "215-364-6636",
            "fax_number": "215-364-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESARO CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "DESARO",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE PRESIDENT OWNER",
        "authorized_official_telephone_number": "215-364-6636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007391L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007390L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.