Individual provider Active NPI

Rita Anne Ciccarone, D.C.

  • Chiropractor
  • King of Prussia, PA
National Provider Identifier
1699844118
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004075L Issued in PA
Practice address
144 E Dekalb Pike
Suite 202
King of Prussia, PA 19406-2150
Phone
(610) 337-3555
NPI assigned
Nov 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004075L PA Primary

Addresses

Primary practice location

144 E Dekalb Pike
Suite 202
King of Prussia, PA 19406-2150

Mailing address

144 E Dekalb Pike
Suite 202
King of Prussia, PA 19406-2150
Phone (610) 337-3555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000190 PA Practitioner - Chiropractic 4385813211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3961 Ridge Pike
Collegeville, PA 19426-3123
Phone (610) 489-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC004075LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ciccarone Chiropractic Care Center, Inc Chiropractor CurrentSince May 14, 2011 Accepting new patients

Locations

3961 Ridge Pike
Collegeville, PA 19426
Phone (610) 489-3600

144 E DeKalb Pike
Ste 202
Kng of Prussa, PA 19406
Phone (610) 337-3555

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, 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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699844118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 E DEKALB PIKE",
            "address_2": "SUITE 202",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062150",
            "telephone_number": "610-337-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 E DEKALB PIKE",
            "address_2": "SUITE 202",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062150",
            "telephone_number": "610-337-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARONE",
        "first_name": "RITA",
        "middle_name": "ANNE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004075L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

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.

Verify at the official NPI Registry.