Individual provider Active NPI

Michael Maroni, DC

  • Chiropractor
  • Wilkes Barre, PA
National Provider Identifier
1427830769
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011873 Issued in PA
Practice address
1140 PA-315
Wilkes Barre, PA 18711
Phone
(570) 451-3404
NPI assigned
Oct 20, 2023
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011873 PA Primary

Addresses

Primary practice location

1140 PA-315
Wilkes Barre, PA 18711

Mailing address

1140 PA-315
Wilkes Barre, PA 18711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130000278 PA Practitioner - Chiropractic 3971951054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Total Body Chiropractic PCGroup PAC ID 2163310681, 3 clinicians

Practice addresses (Care Compare)

115 N Main St
Taylor, PA 18517-1415
Phone (570) 562-7770

98 Grove St
Dupont, PA 18641-2228
Phone (570) 451-3404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Body Chiropractic PC Chiropractor CurrentSince Oct 1, 2025 Accepting new patients
Wilkes Barre Scranton Chiropractic and Rehabilitation Chiropractor CurrentSince Sep 18, 2024 Accepting new patients
Pinnacle Rehabilitation Associates PC PastSince Oct 1, 2025 Accepting new patients

Locations

115 N Main St
Taylor, PA 18517
Phone (570) 562-7770

Organizations & group practices 3

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": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1427830769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 PA-315",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 PA-315",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18711",
            "telephone_number": "570-451-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARONI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.