Deluca Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007516L Issued in PA

Legal business name

DELUCA CHIROPRACTIC, LLC

Practice address

610 E Broad St
Souderton, PA 18964-1219

Phone

(215) 723-7500

Fax

(215) 723-8711

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Trista Marie Deluca, D.C.NPI 1376519710

Title

Managing Member

Phone

(215) 723-7500

Specialties & licenses 1

Addresses

Other names 1

• ALLIANCE CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trista Marie Deluca, D.C.

  • Chiropractor
  • Souderton, PA
  • NPI 1376519710
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407800337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E BROAD ST",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641219",
            "telephone_number": "215-723-7500",
            "fax_number": "215-723-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E BROAD ST",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641219",
            "telephone_number": "215-723-7500",
            "fax_number": "215-723-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUCA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "TRISTA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "215-723-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007516L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLIANCE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Marie Czerwonka, LPT
• Anthony D'Alonzo, PT DPT
• Timothy Matthew Daly, D.O.
• Robert L. Daschbach, D.D.S.
• Adam David Declerico, MSPT
• Trista Marie Deluca, D.C.
• Emily Depaul, MPH, MA, LPC
• Katherine Lillie Desanctis Moyer, LPC, RN
• Devyn Kerr LLC
• Charlinda Diaz

• All providers in Souderton, PA
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.