Active NPI
John Allan Esarco, D.C.
- Chiropractor
- Boardman, OH
National Provider Identifier
1679623854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 596
- Practice address
- 7505 California Ave
Suite a
Boardman, OH 44512-5618 - Phone
- (330) 758-1599
- Fax
- (330) 758-6053
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 596 | OH | Primary |
Addresses
Primary practice location
7505 California Ave
Suite a
Boardman, OH 44512-5618
Mailing address
7505 California Ave
Suite a
Boardman, OH 44512-5618
Phone (330) 758-1599
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0335739 | Medicaid | OH | |
| 341214547-00 | Other | OH | WORKERS COMPENSATION |
| 411591944 | Other | OH | MAIL HANDLERS |
| 34-1214547 | Other | OH | COMMERCIAL INSURANCE |
| 44-00180 | Other | OH | UNITED |
| 000000480608 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1975
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7505 California Ave a
Boardman, OH 44512-5618
Phone (330) 758-1599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5963 | OH | MD | Counseling Psychologist |
| 596 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John a Esarco D.C. LTD | Chiropractor | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Boardman, OH
- NPI 1043467715
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.
-
- Chiropractor
- Boardman, OH
- NPI 1073867743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679623854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 CALIFORNIA AVE",
"address_2": "SUITE A",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125618",
"telephone_number": "330-758-1599",
"fax_number": "330-758-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 CALIFORNIA AVE",
"address_2": "SUITE A",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125618",
"telephone_number": "330-758-1599",
"fax_number": "330-758-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESARCO",
"first_name": "JOHN",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0335739",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "341214547-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAIL HANDLERS",
"identifier": "411591944",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "34-1214547",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "44-00180",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000480608",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.