Individual provider Active NPI

Scott Anthony Sacco, D.C.

  • Chiropractor
  • Hazleton, PA
National Provider Identifier
1629489224
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010871 Issued in PA
Practice address
1730 E Broad St Ste 1
Hazleton, PA 18201-5657
Phone
(570) 497-5150
Fax
(570) 497-4151
NPI assigned
May 16, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00716600 NJ
Chiropractor 111N00000X DC010871 PA Primary

Addresses

Primary practice location

1730 E Broad St Ste 1
Hazleton, PA 18201-5657

Mailing address

1730 E Broad St Ste 1
Hazleton, PA 18201-5657
Phone (570) 497-4150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170411001796 PA Practitioner - Chiropractic 4981980638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1730 E Broad St
Suite 1
Hazleton, PA 18201-5657
Phone (570) 497-4150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00716600NJMDChiropractor
DC010871PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sacco Chiropractic PC Chiropractor CurrentSince Jan 1, 2017 Accepting new patients
Twisted Roots Chiropractic PC Chiropractor CurrentSince Oct 13, 2022 Accepting new patients
Michael a. Washinsky, DO PastSince Jul 24, 2022 Accepting new patients

Locations

1730 E Broad St
Ste 1
Hazleton, PA 18201
Phone (570) 459-2226

110 N Mountain Blvd
Mountain Top, PA 18707
Phone (570) 261-7792

Organizations & group practices 3

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": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629489224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E BROAD ST STE 1",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015657",
            "telephone_number": "570-497-4150",
            "fax_number": "570-497-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E BROAD ST STE 1",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015657",
            "telephone_number": "570-497-5150",
            "fax_number": "570-497-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCO",
        "first_name": "SCOTT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00716600",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.