Individual provider Active NPI

Steven J Maniscalco, M.S., D.C.

  • Sports Physician Chiropractor
  • Wilmington, NC
National Provider Identifier
1477588473
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3293 Issued in NC
Practice address
3822 Oleander Dr
Wilmington, NC 28403-6715
Phone
(910) 313-3275
Fax
(910) 313-3276
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 3293 NC Primary

Addresses

Primary practice location

3822 Oleander Dr
Wilmington, NC 28403-6715

Mailing address

123 Satara Dr
Wilmington, NC 28412-2037
Phone (910) 795-7471

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014000191 NC Practitioner - Chiropractic 5698735694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Family Chiropractic PCGroup PAC ID 1658477138, 3 clinicians

Practice addresses (Care Compare)

73 W Main St
Sylva, NC 28779-2925
Phone (828) 587-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3293NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Family Chiropractic, PC CurrentSince Oct 11, 2023 Accepting new patients
Blue Ridge Health and Spine, PLLC PastSince Sep 3, 2016 Accepting new patients
Family First Chiropractic Inc PastSince Jul 30, 2012 Accepting new patients
Orange County Scoliosis & Disc Center Chiropractic PastSince Sep 29, 2019 Accepting new patients
Healthsource of Leland, PLLC Past Accepting new patients
Center for Spinal Surgery Prevention Past Accepting new patients
Atlantic Coast Chiropractic Sports Physician Past Accepting new patients
O.C. Chiropractic Spine & Disc Center Past Accepting new patients

Locations

73 W Main St
Sylva, NC 28779
Phone (828) 587-2273

Organizations & group practices 8

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1477588473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SATARA DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122037",
            "telephone_number": "910-795-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036715",
            "telephone_number": "910-313-3275",
            "fax_number": "910-313-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANISCALCO",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.S., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "3293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.