Organization Active NPI

Ciccarone Chiropractic Care Center, Inc

  • Chiropractor
  • King of Prussia, PA
National Provider Identifier
1710024948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004075L Issued in PA
Legal business name
CICCARONE CHIROPRACTIC CARE CENTER, INC
Practice address
144 E Dekalb Pike
Suite 202
King of Prussia, PA 19406-2150
Phone
(610) 337-3555
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rita Anne Ciccarone, DCNPI 1699844118
Title
Owner
Phone
(610) 337-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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
O20110811000152 PA Part B Supplier - Clinic/Group Practice 6406025337 Receives reassigned benefits from 1 practitioner
Practice locations: Collegeville, PA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710024948",
    "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": {
        "organization_name": "CICCARONE CHIROPRACTIC CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CICCARONE",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-337-3555",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Aug 22, 2020; 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.