Individual provider Active NPI

William Vito Telesco, D.C.

  • Chiropractor
  • Langhorne, PA
National Provider Identifier
1790893121
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003310L Issued in PA
Practice address
380 Middletown Blvd
Suite 706
Langhorne, PA 19047-1845
Phone
(215) 741-0700
Fax
(215) 750-2661
NPI assigned
Aug 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003310L PA Primary

Addresses

Primary practice location

380 Middletown Blvd
Suite 706
Langhorne, PA 19047-1845

Mailing address

380 Middletown Blvd
Suite 706
Langhorne, PA 19047-1845
Phone (215) 741-0700

Other identifiers 7

IdentifierTypeStateIssuer
4692772OtherPAUNITED HEALTH CARE
MI1751025OtherPAHIGHMARK PA BLUE SHIELD
4523147OtherPAAETNA
1031455OtherPAKEYSTONE MERCY
2418390000OtherPAKEYSTONE
01077440-01OtherPAAMERICHOICE
2418390000OtherPAPERSONAL CHOICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080411000017 PA Practitioner - Chiropractic 5395822605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

380 Middletown Blvd
Langhorne, PA 19047-1845
Phone (215) 741-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC003310LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Middletown Chiropractic Health Center, Inc. Chiropractor CurrentSince May 21, 1986 Accepting new patients

Locations

380 Middletown Blvd
Ste 706
Langhorne, PA 19047
Phone (215) 741-0700

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.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1790893121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MIDDLETOWN BLVD",
            "address_2": "SUITE 706",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471845",
            "telephone_number": "215-741-0700",
            "fax_number": "215-750-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MIDDLETOWN BLVD",
            "address_2": "SUITE 706",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471845",
            "telephone_number": "215-741-0700",
            "fax_number": "215-750-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELESCO",
        "first_name": "WILLIAM",
        "middle_name": "VITO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003310L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4692772",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PA BLUE SHIELD",
            "identifier": "MI1751025",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4523147",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1031455",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2418390000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01077440-01",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2418390000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.