Individual provider Active NPI

Eric Vincent Skocik, D.C.

  • Orthopedic Chiropractor
  • Dover, DE
National Provider Identifier
1649414814
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
F1-0000732 Issued in DE
Practice address
1111A S Governors Ave
Dover, DE 19904-6903
Phone
(302) 535-9205
NPI assigned
May 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0000732 DE
Orthopedic Chiropractor 111NX0800X F1-0000732 DE Primary

Addresses

Primary practice location

1111A S Governors Ave
Dover, DE 19904-6903

Mailing address

1111A S Governors Ave
Dover, DE 19904-6903
Phone (302) 535-9205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110203000636 DE Practitioner - Chiropractic 5698824985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 S Governors Ave
Suite a
Dover, DE 19904-6903
Phone (302) 734-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Life Chiropractic & Rehabilitation Center Orthopedic CurrentSince Mar 30, 2009 Accepting new patients

Locations

1111 S Governors Ave
#A
Dover, DE 19904
Phone (302) 734-2225

1111 S Governors Ave
Dover, DE 19904
Phone (302) 678-2272

2450 Market St
Upper Chichester, PA 19061
Phone (610) 494-2225

Organizations & group practices 1

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": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1649414814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111A S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903",
            "telephone_number": "302-535-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111A S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903",
            "telephone_number": "302-535-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOCIK",
        "first_name": "ERIC",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000732",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "DE",
            "license": "F1-0000732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.