Active NPI
Cindy Pacillo, DC
- Chiropractor
- Sharpsville, PA
National Provider Identifier
1588760722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007836L
- Practice address
- 70 E Shenango St
Sharpsville, PA 16150-1122 - Phone
- (724) 962-9967
- Fax
- (724) 962-9968
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- 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 | DC007836L | PA | Primary |
Addresses
Primary practice location
70 E Shenango St
Sharpsville, PA 16150-1122
Mailing address
70 E Shenango St
Sharpsville, PA 16150-1122
Phone (724) 962-9967
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019227450002 | Medicaid | PA | |
| 624022 | Other | PA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090624000229 | PA | Practitioner - Chiropractic | 1052462504 | Practice locations: Sharpsville, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
70 E Shenango St
Sharpsville, PA 16150-1122
Phone (724) 962-9967
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC007836L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588760722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 E SHENANGO ST",
"city": "SHARPSVILLE",
"state": "PA",
"postal_code": "161501122",
"telephone_number": "724-962-9967",
"fax_number": "724-962-9968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 E SHENANGO ST",
"city": "SHARPSVILLE",
"state": "PA",
"postal_code": "161501122",
"telephone_number": "724-962-9967",
"fax_number": "724-962-9968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACILLO",
"first_name": "CINDY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007836L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019227450002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "624022",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sharpsville, 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.