Individual provider Active NPI

Geno A Pisciottano, DC

  • Chiropractor
  • Canonsburg, PA
National Provider Identifier
1467422998
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006881L Issued in PA
Practice address
1001 Corporate Dr
Ste 120
Canonsburg, PA 15317-8551
Phone
(724) 743-4500
Fax
(724) 743-4501
NPI assigned
Jan 26, 2006
Last updated
Oct 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006881L PA Primary

Addresses

Primary practice location

1001 Corporate Dr
Ste 120
Canonsburg, PA 15317-8551

Mailing address

1001 Corporate Dr
Ste 120
Canonsburg, PA 15317-8551
Phone (724) 743-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816000748 PA Practitioner - Chiropractic 4486546926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Cedar Hill Dr
MC Murray, PA 15317-2529
Phone (724) 743-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC006881LPAMDChiropractor
014208PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gretz Chiropractic Chiropractor PastSince Aug 1, 2005 Accepting new patients
Progressive Chiropractic Clinics Chiropractor PastSince Jul 3, 2013 Accepting new patients
Proadjuster Chiropractic Clinic Chiropractor Past Accepting new patients

Organizations & group practices 5

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1467422998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CORPORATE DR",
            "address_2": "STE 120",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178551",
            "telephone_number": "724-743-4500",
            "fax_number": "724-743-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CORPORATE DR",
            "address_2": "STE 120",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178551",
            "telephone_number": "724-743-4500",
            "fax_number": "724-743-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISCIOTTANO",
        "first_name": "GENO",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006881L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.