Individual provider Active NPI

Mario Albert Grippa, D.C.

  • Chiropractor
  • Rochester, PA
National Provider Identifier
1750475554
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004847L Issued in PA
Practice address
373 Virginia Ave
Rochester, PA 15074-1766
Phone
(724) 775-1002
Fax
(724) 775-2527
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004847L PA Primary

Addresses

Primary practice location

373 Virginia Ave
Rochester, PA 15074-1766

Mailing address

373 Virginia Ave
Rochester, PA 15074-1766
Phone (724) 775-1002

Other identifiers 1

IdentifierTypeStateIssuer
0012780270002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000435 PA Practitioner - Chiropractic 0345420535 Practice locations: Rochester, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

373 Virginia Ave
Rochester, PA 15074-1766
Phone (724) 775-1002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC004847LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mario a. Grippa Chiropractor Past Accepting new patients
Monit Chiropractic Chiropractor Past Accepting new patients

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1750475554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 VIRGINIA AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741766",
            "telephone_number": "724-775-1002",
            "fax_number": "724-775-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 VIRGINIA AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741766",
            "telephone_number": "724-775-1002",
            "fax_number": "724-775-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIPPA",
        "first_name": "MARIO",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004847L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012780270002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.