Active NPI
David Brian Iadeluca, D.C.
- Chiropractor
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007310-L
- Practice address
- 3721 Poplar St
Erie, PA 16508-2651 - Phone
- (814) 864-9775
- Fax
- (814) 864-7227
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007310-L | PA | Primary |
Addresses
Primary practice location
3721 Poplar St
Erie, PA 16508-2651
Mailing address
3721 Poplar Street
Erie, PA 16508
Phone (814) 864-9775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2921 W 26TH St
Erie, PA 16506-2501
Phone (814) 459-2580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC007310-L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iadeluca Chiropractic Center Corry PC | Chiropractor | Current | Accepting new patients |
| Iadeluca Chiropractic Center Meadville PC | Chiropractor | Current | Accepting new patients |
| Iadeluca Chiropractic Center Inc | Chiropractor | Current | Accepting new patients |
| Jack K. Vandervort | Chiropractor | Past | Accepting new patients |
Locations
110 E Columbus Ave
Corry, PA 16407
Phone (814) 459-2580
1990 Nagle Rd
Erie, PA 16510
Phone (814) 899-0691
2921 W 26th St
Erie, PA 16506
Phone (814) 459-2580
1334 W 26th St
Erie, PA 16508
Phone (814) 459-2580
3721 Poplar St
Erie, PA 16508
Phone (814) 864-9775
Organizations & group practices 4
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.
-
- Chiropractor
- Erie, PA
- NPI 1699989921
-
- Chiropractor
- Corry, PA
- NPI 1275115552
-
- Chiropractor
- Meadville, PA
- NPI 1730701962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497862700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3721 POPLAR STREET",
"city": "ERIE",
"state": "PA",
"postal_code": "16508",
"telephone_number": "814-864-9775",
"fax_number": "814-864-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3721 POPLAR ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165082651",
"telephone_number": "814-864-9775",
"fax_number": "814-864-7227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IADELUCA",
"first_name": "DAVID",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007310-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.