Individual provider Active NPI

Denise Vera Nicastro, DC

  • Chiropractor
  • Corning, NY
National Provider Identifier
1639153323
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0065542 Issued in NY
Practice address
75 W Pulteney St
Corning, NY 14830-2252
Phone
(607) 962-3387
Fax
(607) 937-3674
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0065542 NY Primary

Addresses

Primary practice location

75 W Pulteney St
Corning, NY 14830-2252

Mailing address

75 West Pulteney St
Corning, NY 14830-2252
Phone (607) 962-3387

Other practice location 1

17 E William St
Bath, NY 14810-1625
Phone (607) 776-2741

Other practice location 2

75 W Pulteney St
Corning, NY 14830-2252
Phone (607) 962-3387

Other identifiers 12

IdentifierTypeStateIssuer
C06554-2BOtherNYNYS WORKER'S COMPENSATION
1578625927OtherNYBLUE CROSS BLUE SHIELD
1578625927OtherNYAETNA
1578625927OtherNYEMPIRE
1578625927OtherNYUNITED HEALTHCARE
1578625927OtherNYLANDMARK
1578625927OtherNYEMBLEM
1578625927OtherNYPOMCO
1578625927OtherNYELMCO
1578625927OtherNYFIDELIS
1578625927OtherNYTODAY'S OPTIONS
1578625927OtherNYRMSCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000036 NY Practitioner - Chiropractic 2264484864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steuben Chiropractic Associates PCGroup PAC ID 8628020229, 2 clinicians

Practice addresses (Care Compare)

75 W Pulteney St
Corning, NY 14830-2252
Phone (607) 962-3387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0065542NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Steuben Chiropractic Associates PC Chiropractor CurrentSince Apr 1, 1998 Accepting new patients
Bath Chiropractic PC Chiropractor PastSince Jul 1, 1999 Accepting new patients
Finger Lakes Pain Management, LLC PastSince Apr 1, 1998 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639153323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WEST PULTENEY ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302252",
            "telephone_number": "607-962-3387",
            "fax_number": "607-937-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W PULTENEY ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302252",
            "telephone_number": "607-962-3387",
            "fax_number": "607-937-3674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 E William St",
            "address_purpose": "LOCATION",
            "city": "Bath",
            "state": "NY",
            "postal_code": "148101625",
            "country_code": "US",
            "telephone_number": "607-776-2741",
            "fax_number": "607-776-0061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 W Pulteney St",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "NY",
            "postal_code": "148302252",
            "country_code": "US",
            "telephone_number": "607-962-3387",
            "fax_number": "607-937-3674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICASTRO",
        "first_name": "DENISE",
        "middle_name": "VERA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0065542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS WORKER'S COMPENSATION",
            "identifier": "C06554-2B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1578625927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1578625927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "1578625927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1578625927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "1578625927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMBLEM",
            "identifier": "1578625927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "1578625927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELMCO",
            "identifier": "1578625927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "1578625927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TODAY'S OPTIONS",
            "identifier": "1578625927",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMSCO",
            "identifier": "1578625927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

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.