Individual provider Active NPI

Todd Ian Serinsky, D.C.

  • Chiropractor
  • Wayne, PA
National Provider Identifier
1376601013
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009341 Issued in PA
Practice address
230 Sugartown Rd
Suite 60
Wayne, PA 19087-3029
Phone
(610) 687-8988
Fax
(610) 687-8944
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

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 DC009341 PA Primary

Addresses

Primary practice location

230 Sugartown Rd
Suite 60
Wayne, PA 19087-3029

Mailing address

230 Sugartown Rd
Suite 60
Wayne, PA 19087-3029
Phone (610) 687-8988

Other identifiers 3

IdentifierTypeStateIssuer
7531628OtherPAAETNA
2400364000OtherPAINDEPENDENCE BLUE CROSS
1695784OtherPAHIGHMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000089 PA Practitioner - Chiropractic 8628024254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Westside Wellness Chiropractic CenterGroup PAC ID 0648226274, 2 clinicians

Practice addresses (Care Compare)

230 Sugartown Rd
Suite 60
Wayne, PA 19087-6003
Phone (610) 687-8988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009341PAMDChiropractor

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376601013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SUGARTOWN RD",
            "address_2": "SUITE 60",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873029",
            "telephone_number": "610-687-8988",
            "fax_number": "610-687-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SUGARTOWN RD",
            "address_2": "SUITE 60",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873029",
            "telephone_number": "610-687-8988",
            "fax_number": "610-687-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERINSKY",
        "first_name": "TODD",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7531628",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2400364000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1695784",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, 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.