Organization Active NPI

Baccellieri Chiropractic LLC

  • Chiropractor
  • Kennett Square, PA
National Provider Identifier
1801776018
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACCELLIERI CHIROPRACTIC LLC
Practice address
687 Unionville Rd Ste 1
Kennett Square, PA 19348-4717
Phone
(610) 444-2878
NPI assigned
Sep 8, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Dr. Carl Jackson Baccellieri, DCNPI 1023877370
Title
Chiropractor
Phone
(484) 947-7019

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 Primary

Addresses

Primary practice location

687 Unionville Rd Ste 1
Kennett Square, PA 19348-4717

Mailing address

2 Willow Green LN
Kennett Square, PA 19348-1765
Phone (484) 947-7019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251118004510 PA Part B Supplier - Clinic/Group Practice 8729579693 Receives reassigned benefits from 1 practitioner
Practice locations: Kennett Square, PA

National Provider Directory

National Provider Directory

Locations

687 Unionville Rd
Ste 1
Kennett Square, PA 19348
Phone (610) 444-2878

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1801776018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WILLOW GREEN LN",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481765",
            "telephone_number": "484-947-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 UNIONVILLE RD STE 1",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193484717",
            "telephone_number": "610-444-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACCELLIERI CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "BACCELLIERI",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "484-947-7019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.