Individual provider Active NPI

Joseph Domenick Porreca, D.C.

  • Chiropractor
  • Belle Vernon, PA
National Provider Identifier
1841363835
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003079L Issued in PA
Practice address
1100 Fayette Ave
Belle Vernon, PA 15012-2304
Phone
(724) 929-6077
Fax
(724) 929-9410
NPI assigned
Nov 16, 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 DC003079L PA Primary

Addresses

Primary practice location

1100 Fayette Ave
Belle Vernon, PA 15012-2304

Mailing address

411 Vernon Dr
West Newton, PA 15089-2802
Phone (724) 929-6077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000054 PA Practitioner - Chiropractic 8224110416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Fayette Ave
Belle Vernon, PA 15012-2304
Phone (724) 929-6077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC003079LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Porreca Chiropractic Center, Inc. Chiropractor CurrentSince May 1, 2007 Accepting new patients

Locations

1100 Fayette Ave
Belle Vernon, PA 15012
Phone (724) 288-6722

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841363835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 VERNON DR",
            "city": "WEST NEWTON",
            "state": "PA",
            "postal_code": "150892802",
            "telephone_number": "724-929-6077",
            "fax_number": "724-929-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FAYETTE AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150122304",
            "telephone_number": "724-929-6077",
            "fax_number": "724-929-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRECA",
        "first_name": "JOSEPH",
        "middle_name": "DOMENICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003079L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, 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.
  • 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.