Individual provider Active NPI

John C Cassara, DC

  • Chiropractor
  • Erie, PA
National Provider Identifier
1801905591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007136 Issued in PA
Practice address
1455 West 38TH
Suite 1
Erie, PA 16508
Phone
(814) 860-3324
Fax
(814) 864-3334
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007136 PA Primary

Addresses

Primary practice location

1455 West 38TH
Suite 1
Erie, PA 16508

Mailing address

1455 West 38TH
Suite 1
Erie, PA 16508
Phone (814) 860-3324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC007136PAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801905591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 WEST 38TH",
            "address_2": "SUITE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16508",
            "telephone_number": "814-860-3324",
            "fax_number": "814-864-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 WEST 38TH",
            "address_2": "SUITE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16508",
            "telephone_number": "814-860-3324",
            "fax_number": "814-864-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSARA",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.