Individual provider Active NPI

Katherine Palombini Cicirello, D.C.

  • Chiropractor
  • Oakmont, PA
National Provider Identifier
1548292154
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-001863-L Issued in PA
Practice address
609 Allegheny Ave
Oakmont, PA 15139-2003
Phone
(412) 828-0700
Fax
(412) 828-9140
NPI assigned
Jul 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 DC-001863-L PA Primary

Addresses

Primary practice location

609 Allegheny Ave
Oakmont, PA 15139-2003

Mailing address

609 Allegheny Ave
Oakmont, PA 15139-2003
Phone (412) 828-0700

Other identifiers 2

IdentifierTypeStateIssuer
AJ-001863-LOtherPAADJUNCTIVE PROCEDURE LIC
DC-001863-LOtherPACHIROPRACTIC LICENSE

Other names 1

  • Miss Katherine Palombini Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111103000265 PA Practitioner - Chiropractic 4688847841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-001863-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Horizons, Inc Chiropractor CurrentSince Sep 17, 2011 Accepting new patients

Locations

333 Allegheny Ave
Ste 202
Oakmont, PA 15139
Phone (412) 828-0700

609 Allegheny Ave
Oakmont, PA 15139
Phone (412) 828-0700

Organizations & group practices 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548292154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 ALLEGHENY AVE",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151392003",
            "telephone_number": "412-828-0700",
            "fax_number": "412-828-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ALLEGHENY AVE",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151392003",
            "telephone_number": "412-828-0700",
            "fax_number": "412-828-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICIRELLO",
        "first_name": "KATHERINE",
        "middle_name": "PALOMBINI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-001863-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADJUNCTIVE PROCEDURE LIC",
            "identifier": "AJ-001863-L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC-001863-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "PALOMBINI",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakmont, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.