Individual provider Active NPI

Jeffrey Edward Scarella, D.C.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1376715904
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10860 Issued in TX
Practice address
6060 Dilbeck LN
Dallas, TX 75240-5351
Phone
(469) 916-1592
Fax
(972) 458-6829
NPI assigned
Mar 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10860 TX Primary

Addresses

Primary practice location

6060 Dilbeck LN
Dallas, TX 75240-5351

Mailing address

6060 Dilbeck LN
Dallas, TX 75240-5351
Phone (469) 916-1592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10860TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Agritelley Inc. Chiropractor PastSince Sep 14, 2009 Accepting new patients

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": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1376715904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 DILBECK LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405351",
            "telephone_number": "469-916-1592",
            "fax_number": "972-458-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 DILBECK LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405351",
            "telephone_number": "469-916-1592",
            "fax_number": "972-458-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARELLA",
        "first_name": "JEFFREY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.