Organization Active NPI

Jack S. Locascio, D.C.,P.C.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1861601544
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5170 Issued in TX
Legal business name
JACK S. LOCASCIO, D.C.,P.C.
Practice address
433 W 12TH St
Dallas, TX 75208-6507
Phone
(214) 943-7799
Fax
(214) 946-6923
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Dr. Jack S Locascio, D.C.NPI 1558441501
Title
Owner
Phone
(214) 943-7799

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 5170 TX Primary

Addresses

Primary practice location

433 W 12TH St
Dallas, TX 75208-6507

Mailing address

433 W 12TH St
Dallas, TX 75208-6507
Phone (214) 943-7799

Other identifiers 1

IdentifierTypeStateIssuer
0029NROtherTXBCBS GROUP

Other names 1

  • LoCascio Care Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090702000045 TX Part B Supplier - Clinic/Group Practice 9830240860 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1861601544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W 12TH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752086507",
            "telephone_number": "214-943-7799",
            "fax_number": "214-946-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W 12TH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752086507",
            "telephone_number": "214-943-7799",
            "fax_number": "214-946-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK S. LOCASCIO, D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "LOCASCIO",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-943-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0029NR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LoCascio Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LoCascio Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.