Individual provider Active NPI

Daniel J Nigrelli

  • Chiropractor
  • Bethlehem, PA
National Provider Identifier
1407488125
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011529 Issued in PA
Practice address
1578 Easton Ave
Bethlehem, PA 18017-5911
Phone
(610) 866-4440
NPI assigned
Feb 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011529 PA Primary

Addresses

Primary practice location

1578 Easton Ave
Bethlehem, PA 18017-5911

Mailing address

1124 Kennebec Dr
Chambersburg, PA 17201-2809

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303002137 PA Practitioner - Chiropractic 4385071323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madeira Chiropractic and Rehabilitation PCGroup PAC ID 6507961067, 2 clinicians

Practice addresses (Care Compare)

1124 Kennebec Dr
Chambersburg, PA 17201-2809
Phone (717) 263-8919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011529PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Madeira Chiropractic and Rehabilitation PC Chiropractor CurrentSince Jun 25, 2020 Accepting new patients

Locations

1124 Kennebec Dr
Chambersburg, PA 17201
Phone (717) 263-8919

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1407488125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 KENNEBEC DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180175911",
            "telephone_number": "610-866-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGRELLI",
        "first_name": "DANIEL",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.