Individual provider Active NPI

Marc Anthony Calicchio, D.C.

  • Chiropractor
  • Sinking Spring, PA
National Provider Identifier
1417977281
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007924L Issued in PA
Practice address
2917 Windmill Rd
Suite 4
Sinking Spring, PA 19608-1679
Phone
(610) 685-8527
NPI assigned
Jul 21, 2006
Last updated
Feb 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007924L PA Primary

Addresses

Primary practice location

2917 Windmill Rd
Suite 4
Sinking Spring, PA 19608-1679

Mailing address

2917 Windmill Rd
Suite 4
Sinking Spring, PA 19608-1679
Phone (610) 685-8527

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000478 PA Practitioner - Chiropractic 1658539150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2917 Windmill Rd
4 Atlas Chiropractic and Wellness Center
Sinking Spring, PA 09608-1679
Phone (610) 685-8527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Chiropractic of Wyomissing, P.C. Chiropractor CurrentSince Dec 26, 2000 Accepting new patients

Locations

2917 Windmill Rd
Ste 4
Sinking Spring, PA 19608
Phone (610) 670-7010

4 Park Plz
Ste 301
Wyomissing, PA 19610
Phone (610) 685-8527

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1417977281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 WINDMILL RD",
            "address_2": "SUITE 4",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081679",
            "telephone_number": "610-685-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 WINDMILL RD",
            "address_2": "SUITE 4",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081679",
            "telephone_number": "610-685-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALICCHIO",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007924L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sinking Spring, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.