Organization Active NPI

Losagio Chiropractic Center Inc

  • Neurology Chiropractor
  • Bethlehem, PA
National Provider Identifier
1487600755
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DCOO3864L Issued in PA
Legal business name
LOSAGIO CHIROPRACTIC CENTER INC
Practice address
1220 Illicks Mill Rd
Bethlehem, PA 18017-3654
Phone
(610) 865-8155
Fax
(610) 758-8998
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Dr. Mark D LosagioNPI 1629037825
Title
President
Phone
(610) 865-8155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X DCOO3864L PA Primary

Addresses

Primary practice location

1220 Illicks Mill Rd
Bethlehem, PA 18017-3654

Mailing address

1220 Illicks Mill Rd
Bethlehem, PA 18017-3654
Phone (610) 865-8155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101110001117 PA Part B Supplier - Clinic/Group Practice 9537354980 Receives reassigned benefits from 1 practitioner
Practice locations: Easton, PA

National Provider Directory

National Provider Directory

Locations

1220 Illicks Mill Rd
Bethlehem, PA 18017
Phone (610) 865-8155

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1487600755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 ILLICKS MILL RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173654",
            "telephone_number": "610-865-8155",
            "fax_number": "610-758-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 ILLICKS MILL RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173654",
            "telephone_number": "610-865-8155",
            "fax_number": "610-758-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOSAGIO CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "LOSAGIO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-865-8155",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "PA",
            "license": "DCOO3864L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.