Jeffrey Edward Dasilva, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009539 Issued in PA

Practice address

1121 11TH St
1St Floor
Conway, PA 15027-1400

Phone

(724) 869-2167

Fax

(724) 869-2168

NPI assigned

May 11, 2006

Last updated

Dec 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Care Chiropractic Center, LLC

  • Chiropractor
  • Conway, PA
  • NPI 1073566683
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1508816448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 11TH ST",
            "address_2": "1ST FLOOR",
            "city": "CONWAY",
            "state": "PA",
            "postal_code": "150271400",
            "telephone_number": "724-869-2167",
            "fax_number": "724-869-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 11TH ST",
            "address_2": "1ST FLOOR",
            "city": "CONWAY",
            "state": "PA",
            "postal_code": "150271400",
            "telephone_number": "724-869-2167",
            "fax_number": "724-869-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "JEFFREY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "DA1824706",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa S Bender, MOTR/L
• Jean Marie Buerkle, RPH
• Ryan Burzese, DMD
• Susan J Dloughy
• Family Care Chiropractic Center, LLC
• Suzanne Marie Fleeson-Dasilva, D.C.
• Mario F Funair
• Joshua Michael Gagric, DC

• Chiropractor in Conway, PA
• Providers in Conway, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.