Individual provider Active NPI

Attilio A Paci, D.C.

  • Chiropractor
  • Hagerstown, MD
National Provider Identifier
1740288182
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03436 Issued in MD
Practice address
200 Northern Ave
Hagerstown, MD 21742-2920
Phone
(301) 733-4445
Fax
(301) 733-3383
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03436 MD Primary

Addresses

Primary practice location

200 Northern Ave
Hagerstown, MD 21742-2920

Mailing address

200 Northern Ave
Hagerstown, MD 21742-2920
Phone (717) 263-6498

Other identifiers 2

IdentifierTypeStateIssuer
352258194OtherMDEMPLOYEE ID
PA1739401OtherMDHIGHMARK BLUE CROSS BLUE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000103 MD Practitioner - Chiropractic 2466481189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Northern Ave
Hagerstown, MD 21742-2920
Phone (301) 733-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paci Chiropractic, Inc. Chiropractor CurrentSince Jun 27, 2005 Accepting new patients
Chambersburg Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

200 Northern Ave
Hagerstown, MD 21742
Phone (301) 733-4445

Interoperability endpoints

  • Direct secure messaging: dr.paci@pc0001.direct.chirotouch.md

Organizations & group practices 2

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1740288182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHERN AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422920",
            "telephone_number": "717-263-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTHERN AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422920",
            "telephone_number": "301-733-4445",
            "fax_number": "301-733-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACI",
        "first_name": "ATTILIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE ID",
            "identifier": "352258194",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS BLUE",
            "identifier": "PA1739401",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.