Depietro Chiropractic & Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DEPIETRO CHIROPRACTIC & WELLNESS LLC

Practice address

1536 Main St
1St Floor Rear
Peckville, PA 18452-2062

Phone

(570) 291-4450

Fax

(570) 291-4454

NPI assigned

Jul 22, 2021

Organization subpart

No

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

Authorized official

Name

Anthony Depietro, DCNPI 1194780122

Title

President

Phone

(570) 291-4450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Depietro, D.C.

  • Chiropractor
  • Peckville, PA
  • NPI 1194780122
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1629641055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 MAIN ST STE 1",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522062",
            "telephone_number": "570-291-4450",
            "fax_number": "570-291-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 MAIN ST",
            "address_2": "1ST FLOOR REAR",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522062",
            "telephone_number": "570-291-4450",
            "fax_number": "570-291-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPIETRO CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "DEPIETRO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-291-4450",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Coleman, HEARING AID FITTER
• John A Consalvo, M.D.
• Krista Cox, LCSW
• Cali Ann Craig
• Olivia Delvecchio, LSW
• Anthony Depietro, D.C.
• Melanie Faith Depietro, PA-C
• Meena Desai, MD
• Ashley Elizabeth Dunning, LSW
• Eat and Thrive Now LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.