NPIMap

Organization Active NPI

Mario a. Grippa

  • Chiropractor
  • Rochester, PA
National Provider Identifier
1629137559
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004847L Issued in PA
Legal business name
MARIO A. GRIPPA
Practice address
373 Virginia Avenue
Rochester, PA 15074
Phone
(724) 775-1002
Fax
(724) 775-2527
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mario A Grippa, D.C.NPI 1750475554
Title
Chiropractor
Phone
(724) 775-1002

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC004847L PA Primary

Addresses

Primary practice location

373 Virginia Avenue
Rochester, PA 15074

Mailing address

373 Virginia Avenue
Rochester, PA 15074
Phone (724) 775-1002

Other identifiers 6

IdentifierTypeStateIssuer
0012780270002MedicaidPA
5356108OtherPAAETNA PPO
1010014OtherPAGATEWAY
664633OtherUNITED HEALTHCARE
9983002OtherPACIGNA
3087535OtherPAAETMA HMO

National Provider Directory

National Provider Directory

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629137559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 VIRGINIA AVENUE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "15074",
            "telephone_number": "724-775-1002",
            "fax_number": "724-775-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 VIRGINIA AVENUE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "15074",
            "telephone_number": "724-775-1002",
            "fax_number": "724-775-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO A. GRIPPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIPPA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "724-775-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004847L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012780270002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5356108",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1010014",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "664633",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9983002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETMA HMO",
            "identifier": "3087535",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.